Calculi Case Studies

Justina Toland- Tennant Unit 4 Assignment Chapter 4 Exercises and Review Chapter 4: Exercise 4.26 #4 49521 Hernia repair, inguinal, incarcerated Chapter 4: Exercise 4.31 #4 50920 Fistula, closure, ureter cutaneous Chapter 4: Exercise 4.34 #10 54322 Hypospadias, repair, one stage, meatal advancement Chapter 4: Exercise 4.37 #8 58956 Hysterectomy, abdominal, total Chapter 4: Exercise 4.41 #4 61312 Craniotomy, evacuation of hematoma Chapter 4: Exercise 4.43 #8 67700-RT Incision and drainage, abscess, eyelid Chapter 4: Review: Coding for Facility # 12 11305-LT Shaving, skin lesion Appendix C: Case Number #9 52630 Prostatectomy, transurethral 9. 52601 Prostate, excision, transurethral; or Prostatectomy,

Discussion Post Week ten NURS 6501, N-21 Urinary tract infections (UTIs) are usually caused by bacteria and are common. Symptoms of both upper and lower infections are similar; therefore, it is important for advanced practice nurses (APNs) to be able to determine the pathophysiology of upper and lower UTIs. The purpose of this discussion is to evaluate the similarities and differences between upper and lower UTIs, clinical manifestations, treatments, and factors affecting all of these things. UTIs are infections that may occur anywhere in the urinary tract such as the urethra, bladder, ureters, and kidneys. Typically UTIs are caused by bacteria from the gut flora and are inflammation of the urinary epithelium.

The next system I dissected was the respiratory system. My first task was to find the trachea as well as the esophagus. My goal was to compare the structure of each. I found the trachea to be wider, stronger, and it had a bumpy surface. The structure of the esophagus is small, but versatile which allows it to move easily.

During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital with urinary retention a catheter was inserted to determine the amount of urine in their bladder or post-void residual (PVR). Many patients later developed pain and a urinary tract infection or Community Acquired Infection secondary to frequent cauterization. Therefore, the gap identified was related to a knowledge deficit of the current practice that inserting a

Even with being observant and watching for the obvious signs and symptoms of a UTI, it is important we also are aware that UTIs can be symptomatic or asymptomatic (Hälleberg Nyman, Johansson, Persson & Gustafsson, 2011). Signs and symptoms of a UTI can include frequent pain and/or burning during urination, polyuria, increased urgency, nocturia, hematuria, incontinence, and suprapubic, back, or pelvic pain (Paul, Day & Williams, 2016). UTIs need to be treated promptly to prevent renal damage, and/or potential septic shock. We also need to be aware of the different risk factors that

On assessment of his abdomen I noticed his lower pubic area was bulging outward, which looked very abnormal. I started to insert the Indwelling catheter and noticed that when it was fully inserted there was no urine return, but I was

At Toledo Hospital I noticed that the male extern catheters have been completely changed to a new design. Upon further investigation, I found that they have done so by observing and collecting evidence that the old model was doing more harm than good. The old models were very frequently leaking and causing discomfort and skin breakdown from the adhesive as well as the leaking urine that was constantly getting on the patient’s skin. To fix the issue they completely changed the design for external catheters for men and it has been found that application is easy and there is less discomfort and urine leakage from the catheters. From even my own experience this was a great change for the patient and

Getting Started With Self-Catheterization If you have a medical condition or injury that damaged the nerves to your bladder, you may need to use a catheter so you can pass urine properly. Your doctor might insert a permanent catheter for you to wear, but it's also possible you'll have to insert a catheter yourself a few times a day to drain your bladder. Although the thought of inserting a catheter yourself at home may sound daunting, it's actually an easy process once you've had some practice. Here is a quick look at buying and using catheters at home.

Ureteroceles can be a diagnostic and therapeutic challenge with clinical symptoms arising from an abnormal spectrum embryogenesis mainly associated with the abnormal development of the ureteral intravesical. They may be asymptomatic or appear with a wide range of clinical signs and symptoms, from recurrent urinary tract infection to bladder outlet obstruction and renal failure. Ureterocele usually causes obstruction of the affected renal unit and can be associated with varying degrees of dilatation of the renal pelvis and ureter, with or without the loss of kidney

According to ANA, (2014) there are three areas to improve evidence-based clinical care to reduce the rate of CAUTI. Avoidance of inappropriate short term catheter use will assist to reduce foley insertions and utilization. A selection assessment and evidence based management tools used to help nurses manage patients with urinary retention and incontinence. A nurse driven protocol gives emphasis to timely remove urinary catheters. Urinary catheter care during placement is crucial to ensure aseptic technique is not broken during

I write on behalf of my patient, Phil Robins, who is a sixty-five-year-old male facing acute urinary retention. Phil Robins shows several medical symptoms, including an inability to urinate, severe pain and discomfort in the lower abdomen, and bloating of the lower abdomen. My patient has been previously diagnosed with benign prostatic hyperplasia which has been obstructing his urinary tract. Because of this, he frequently has to use a catheter to empty his bladder. My main concern for Mr. Robins is the prevention of infections commonly associated with catheter use.

Catheters are partially flexible tubes that collect urine from the bladder and leads into a drainage bag. They are often recommended by doctors if the patient is unable to control when they urinate, if they are leaking urine or if they’re unable to empty their bladder when they need to. These things can be caused by kidney stones, surgeries on various parts of the body, spinal cord injury and other conditions. (Cafasso J, 2015) Catheter-related urinary tract infection (UTI) occurs because urethral catheters inject organisms into the bladder and promote colonisation by providing a surface for bacterial adhesion and causing mucous related irritation (Brusch JL, 2015).

Objective: the aims of this study to evaluate the efficacy of Tamsulosin 0.2mg in post shock wave lithotripsy of renal pelvic Stone ≤ 2 cm. Patients and methods: Prospective randomized placebo-controlled double-blind clinical study was conducted in shock wave lithotripsy (SWL) outpatient unit on 106 patients .After successful SWL they were divided into, two groups; Placebo group and Tamsulosin 0.2mg group. Then follow up for 2, 4 and 6 weeks all patients completed the follow-up period except 6 patients were excluded from the study. Results Stone criteria of both groups showed no significant difference.

Unlike ESWL; the shock wave is not focused. Therefore, the stone must be placed where the shock wave is generated . 36 The major disadvantage of EHL is its narrow margin of safety owing to the risk of damage to ureteral mucosa and ureteral perforation, the risk of perforation is greater with higher energies, such as in treatment of a hard stone. regarding advantages, EHL successfully fragments 90% of stones and it is the least expensive intracorporeal device .37 3)Ultrasonic Lithotriptors : Ultrasound has a wide margin of safety when used appropriately.

Kidney stones can form anywhere within the urinary tract, within the kidney, within the ureter (the tube draining urine from the kidney), or in the bladder. Kidney stones are crystalline masses that form from minerals and proteins in the urine. Kidney stones form when a change occurs in the normal balance of water, salts, minerals, and other things found in urine. These stones may contain various combination of chemicals. The most common type of stone contains calcium in combination with either oxalate or phosphate.