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相关概念视频

Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

20
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
20
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

15
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 Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

14
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...
14
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

18
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
18

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在急性前列腺炎中极度升高的前列腺特异性抗原:一个病例报告

Anamika Nepal1, Prabhat Sharma2, Shristi Bhattarai3

  • 1Internal Medicine, Shankarapur Hospital, Kathmandu, NPL.

Cureus
|September 20, 2023
PubMed
概括

在患有急性前列腺炎的患者中观察到极高的前列腺特异性抗原 (PSA) 水平,此前仅与癌症有关. 这一案例突显了非癌症条件下PSA升高的罕见情况.

关键词:
在急性前列腺炎.慢性前列腺炎 慢性前列腺炎前列腺癌 (PCA) 是一种前列腺特异性抗原 (psa) 是什么?尿道感染 (uti) 尿道感染

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 在瘤学瘤学.
  • 病理学 病理学 病理学

背景情况:

  • 提升的前列腺特异性抗原 (PSA) 水平通常表明前列腺癌.
  • 然而,非癌性前列腺疾病也会导致PSA升高.
  • 在前列腺癌之外,很少看到极端的PSA升高.

研究的目的:

  • 在急性前列腺炎中报告和审查一种非典型的PSA极高的病例.
  • 在良性前列腺增生 (BPH) 和慢性前列腺炎的背景下讨论这些发现的含义.

主要方法:

  • 案例报告. 情况报告.
  • 对患者表现和病史的审查.
  • 关于前列腺疾病中极端PSA水平的文献综述.

主要成果:

  • 一名患者呈现出明显升高的PSA,为1,398 ng/mL.
  • 这种极端的PSA水平与急性前列腺炎有关,而不是前列腺癌.
  • 该患者还曾经患有良性前列腺增生症 (BPH) 和慢性前列腺炎.

结论:

  • 在急性前列腺炎中可以出现极高的PSA水平,这挑战了传统的仅与癌症的关联.
  • 这一案例强调了考虑非恶性病因导致PSA值非常高的重要性.
  • 需要进一步研究以了解PSA升高的罕见表现.