Question

Write at least 500 words

Discussion:

Your first patient this week has a problem of the genitourinary tract that has plagued him since birth. He has had many hospitalizations due to this problem and suffers repeatedly with difficulties of the genitourinary tract. Describe the problem using terms built from the genitourinary medical word elements in your text. Mention 3 tests or procedures that would help you understand or treat your patient.

The second patient for you this week is a woman with a problem involving the reproductive area. Describe the problem she has with words built from some of the reproductive medical word elements in your text. You need to include at least 3 tests or procedures needed to address her issue as well.

Don't forget to write at least 500 words

Answer 1

Pt. With case 1 Have a case of Hydronephrosis with Recurrent GenitoUrinary tract Infections.

Hydronephrosis:-

It is swelling of kidney due to build up of urine. It haopens when urine can not drain out from the kidney to the bladder from a obstruction.

Causes :-

Kidney stone

Blood clot

Congenital blockage

Tumor

Urinary Trat Infections

Enlarged prostate.

Clinical features :-

1. Oligourea

2. Hematuria

3 Abdominal pain

4 High blood pressure

Diagnostic Tests:-

1.Cystoscopy:- Where a long tube with a light and camera at the end(Cystoscope) that allows the Doctor to look inside the bladder and urethra.

2. Untrasonography by using sound waves to Create images of kidneys.

3. X rays

Treatment:-

It may includes

Antibiotics

Urinary catheterization

Nephrostomy

Extracorporeal Shock wave lithotripsy.

Case 2. The female client is a case of Endometriosis.

It is a disorder in which tissue that normally lines the uterus grows outside the uterus, i.e. ovaries ,fallopian tubes,or intestines.

Clinical features:-

1lower abdomen pain

2 lower back pain

3Dyspareunia(painfull sexual intercourse)

4.Dyschezia(painfull defication)

5. Menorrhagia

6. Dysmenorrhea

7 Abdominal bloating

8 constipation

9 Nausea

10 Infertility

Causes:-

1 Retrograde Menstruation

2 Transformation of peritoneal cells

3 Embryonic cell transformation

4 Immune system disorder

5 surgical scar implantation

Risk factors:-

1.Nullipara

2 Early Menarche

3 oligimenorrhea

4 higher level of Oestrogen

5 low BMI

6. Hereditary.

Diagnosis:-

1. Pelvic Exam.(To palpate abnormalities like cysts, scar on uterus)

2. TVS (TRANS VAGINAL ULTRASONOGRAPHY)

3 LAPROSCOPY

4. MRI

5 BIOPSY