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Related Concept Videos

Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Related Experiment Video

Updated: Sep 3, 2025

Posterior Approach for Debridement of the Psoas Abscess
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A successful management algorithm for vulvar abscess: A tertiary hospital experience.

Sezin E Aksakal1, Sadiman K Altınbas1, Merve A Ozkan1

  • 1Department of Gynecology, University of Health Sciences Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey.

The Journal of Obstetrics and Gynaecology Research
|July 31, 2022
PubMed
Summary

This study presents a new algorithm for treating vulvar abscesses, achieving a 0% recurrence rate. The developed management strategy effectively resolves vulvar abscesses with a high success rate.

Keywords:
algorithmincision and drainagetreatmentvulvar abscessvulvar disease

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Area of Science:

  • Gynecology
  • Infectious Diseases
  • Surgical Management

Background:

  • Vulvar abscesses are a common gynecological condition requiring effective treatment strategies.
  • Existing literature lacks a standardized algorithm for the management of vulvar abscesses.

Approach:

  • A comprehensive literature review and a clinical study of 28 patients hospitalized with vulvar abscess between 2015 and 2019 were conducted.
  • Data collected included patient demographics, medical history, abscess characteristics, treatment modalities, and outcomes.
  • A treatment and management algorithm was developed based on these findings.

Key Points:

  • The average patient age was 47.7 years, with diabetes mellitus being the most common comorbidity (60.7%).
  • Spontaneous drainage occurred in 78.5% of cases, while 21.4% required incisional drainage.
  • Primary antibiotic regimens included gentamicin + clindamycin or levofloxacin + metronidazole. Surgical drains were used for larger abscesses (>5 cm).

Conclusions:

  • The developed treatment algorithm resulted in a 92.8% recovery rate with no recurrences.
  • This study provides the first documented successful algorithm for vulvar abscess treatment and management.
  • The proposed methods offer a clear pathway for managing vulvar abscesses effectively.