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相关概念视频

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

434
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 I: Introduction01:27

Acute Pyelonephritis I: Introduction

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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...
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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...
842
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

400
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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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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相关实验视频

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Vessel-sparing Excision and Primary Anastomosis
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脊柱外围后尿道镜检查:一个病例报告

Stephanie N Washington1, David D Kim2, Luke F Reynolds3

  • 1The Pritzker School of Medicine, Biological Sciences Division, University of Chicago, Chicago, IL, 60637, USA.

BMC urology
|April 24, 2025
PubMed
概括

脊柱外围 (SEA) 是一种罕见但严重的感染. 本报告详细介绍了在尿路透镜检查后免疫能力强的患者中发生的两例SEA病例,强调了泌尿科医生意识的必要性.

关键词:
激光力托里普西 (Litotripsy) 是一种激光疗法.脊柱外围 (spinal epidural abscess) 是一种脊柱外围 (spinal epidural abscess) 的病例,它发生在脊柱上的一些部位.尿路透镜检查是指尿路透镜检查.尿路感染 尿路感染

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 传染性疾病 传染性疾病
  • 神经外科 神经外科

背景情况:

  • 脊柱外围 (SEA) 是一种罕见的,可能致命的感染.
  • 发烧和背部疼痛等早期症状可以在神经系统衰退之前出现.
  • 在尿道镜检查后免疫能力强的患者中,没有先前报告的SEA有复发性尿路感染.

研究的目的:

  • 报告尿道镜检查的新奇并发症.
  • 提高泌尿科医生对SEA后期手术的认识.

主要方法:

  • 两个患者的病例系列介绍.
  • 患者患有复发性尿路感染 (UTI),并接受了尿路透镜检查 (URS) 与石 (LL).

主要成果:

  • 两个免疫能力强的患者在尿道镜检查后出现了脊髓外周.
  • 两者都需要干预;一个经历了永久的神经缺陷.

结论:

  • 泌尿科医生必须认识到SEA是尿路检查的潜在并发症.
  • 早期诊断和管理对于更好的患者结果至关重要.