Genitourinary in Women the Things to Expect Case Study

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Genitourinary

SENSORY INDOOR/OUTDOOR ENVIRONMENT

What further questions do you have for Laura at this visit?

1,) Are you having frequent urination?

Do you have any pain in your abdomen?

Do you noticed that there is a change in color and odor of your urine?

Do you have painful intercourse?

Do you have any nausea, vomiting?

Do you have any fever, or chills?

Any history of mental illness?

Do you have any changes in sleep pattern?

Do you have any kind of abnormal uterine bleeding?

What is your differential diagnosis list for this visit thus far with rationale?

Cystitis in Females

Multiple Sclerosis

Prostatitis

Spinal Cord Neoplasms

Spinal Cord Trauma and Related Diseases

Spinal Epidural Abscess

Urinary Obstruction

Urinary Tract Infection in Males

Uterine Prolapse in Emergency Medicine

Vaginitis

Based on your differential diagnoses list, identify what body systems you'd examine along with pertinent positive/negatives in each system and any diagnostic tests you would like to perform?

Positive

Negatives

Diagnostic Test

Body Part

Cystitis in Females

A positive leukocyte esterase dipstick test suffices in most instances

Oral therapy with an empirically chosen antibiotic

Bladder

Multiple Sclerosis

Many different treatments

Attacks the nervous system making it hard to treat immunomodulatory therapy central nervous system

Spinal Cord Neoplasms

Use of spinal immobilization precautions may be prudent when neurologic impairment is suggested.

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For the emergency physician, the cell origin of the tumor is less of a concern than the consequent syndromes of spinal cord dysfunction.

spinal cord

Spinal Cord Trauma and Related Diseases

One half of cases are estimated to be misdiagnosed or have a delayed diagnosis medical and surgical therapy spinal cord

Spinal Epidural Abscess

Can end in death

antistaphylococcal antibiotics

Spinal cord

Urinary Obstruction

Early recognition and treatment are the keys to preventing renal loss (Genitourinary Assessment, 2016).

Pulmonary edema urinary tract

Uterine Prolapse in Emergency Medicine

Women who are severely overweight are at increased risk of prolapse (Medscape, 2016).

Early diagnosis of uterine prolapse. Inpatient care for patients with uterine prolapse is indicated only in cases complicated by severe ulceration, infection, or renal failure (J. Maxwell White, 2012)

Pregnancy is believed to be the main cause of pelvic organ prolapse. It can occur immediately after pregnancy or 30 years later. Many factors like the weight of the baby, the physical trauma of labor, and birth stresses can strain the pelvic muscles and ligaments.

Vaginitis

Can be caught early

Flows daily

Pelvic….....

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