Kidneys, Bladder, Urethra

Irritable Bladder (Urethral Syndrome): Test and Diagnosis

2nd-order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: nitrite, protein, hemoglobin, erythrocytes, leukocytes) incl. sediment, if necessary urine culture (pathogen detection and … Irritable Bladder (Urethral Syndrome): Test and Diagnosis

Irritable Bladder (Urethral Syndrome): Drug Therapy

Therapeutic target Improvement of symptomatology, i.e., primarily an improvement in urgency-frequency symptomatology (“urgency frequency”). Therapy recommendations For pain management of chronic pelvic pain syndrome (CPPS): see the table below. Spasmolytics, alpha sympathomimetics if necessary. Another therapeutic option is intravesical injection of botulinum toxin A (BTXA); indications: neuropathic bladder; overactive bladder (OAB)Overall success rate in OAB … Irritable Bladder (Urethral Syndrome): Drug Therapy

Irritable Bladder (Urethral Syndrome)

In urethral syndrome – colloquially called irritable bladder – (synonyms: Frequency-urgency syndrome; hyperactive bladder; hyperreflexive bladder; hyperreflexive urinary bladder; irritable bladder; menopausal irritable bladder; psychosomatic urethral syndrome; irritable bladder syndrome;urethral pain syndrome; urethral syndrome (Engl. urethral pain syndrome; vegetative irritable bladder syndrome; ICD-10 N32.8: Other specified diseases of the urinary bladder) is an irritable condition … Irritable Bladder (Urethral Syndrome)

Irritable Bladder (Urethral Syndrome): Medical History

Medical history (history of illness) represents an important component in the diagnosis of urethral syndrome (irritable bladder). Family history Is there a frequent occurrence of urogenital system diseases in your family? Social history Current medical history/systemic history (somatic and psychological complaints). What complaints have you noticed? How long have these changes existed? Do you suffer … Irritable Bladder (Urethral Syndrome): Medical History

Anuria and Oliguria: Medical History

Medical history (history of illness) represents an important component in the diagnosis of anuria. Family history Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints). What complaints have you noticed? How long have these changes existed? How often do you need to urinate each day? When did you last urinate? Do you pass only small … Anuria and Oliguria: Medical History

Anuria and Oliguria: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Malformations of the genitourinary system Blood, blood-forming organs – immune system (D50-D90). Hemolysis – dissolution of erythrocytes (red blood cells). Hemolytic uremic syndrome (HUS) – triad of microangiopathic hemolytic anemia (MAHA; form of anemia in which erythrocytes (red blood cells) are destroyed), thrombocytopenia (abnormal reduction in platelets/platelets), and … Anuria and Oliguria: Or something else? Differential Diagnosis

Anuria and Oliguria: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes [anemia (anemia), edema (water retention), pruritus (itching), yellowish skin color] Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel … Anuria and Oliguria: Examination

Anuria and Oliguria: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, … Anuria and Oliguria: Test and Diagnosis

Anuria and Oliguria: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Renal sonography (ultrasound examination of the kidneys) including the urinary tract. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle) – for basic diagnostics. Computed tomography (CT) of the abdomen … Anuria and Oliguria: Diagnostic Tests

Anuria and Oliguria: Symptoms, Complaints, Signs

Anuria is a symptom of acute renal failure (ANV). In the initial phase, ANV usually progresses without specific symptoms. In manifest ANV, the following forms can be distinguished: Oliguric course: <500 ml urine output/day. Non-oliguric course: > 500 ml urine production/day. In the polyuric phase, there is massive urine production. Other symptoms occur depending on … Anuria and Oliguria: Symptoms, Complaints, Signs

Bacteriuria

Bacteriuria (ICD-10-GM R82.7: Abnormal findings on microbiological urinalysis) is the excretion of bacteria in urine. Significant bacteriuria is defined as a pathogen count of 105 germs per ml urine (CFU/ml). Detection is by urine culture. A positive urine culture is followed by a resistogram, i.e. testing of suitable antibiotics for sensitivity/resistance (see below “Urine testing … Bacteriuria