Presentation
Seven patients presented with vesicovaginal fistulas (43%), of which one healed spontaneously. Eight patients had ureterovaginal fistulas. [ncbi.nlm.nih.gov]
Includes "Cardinal Presentations" sections that provide quick and easy guidance on differential diagnosis and directed testing. [books.google.com]
If neither portion is stained but the upper sponge is wet, a ureterovaginal fistula may be present. [aafp.org]
Entire Body System
- Sepsis
Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. [journals.plos.org]
In addition, neglectful actions of a healthcare provider can lead to a urinary tract infection in nursing home patient, along with other life-threatening medical conditions including sepsis. [rosenfeldinjurylawyers.com]
[…] greatly expanded coverage of emergency ultrasound and emergency gynecological disorders, along with sweeping updates throughout, to place the latest knowledge at your fingertips, as well as state-of-the-art coverage of emergency ultrasound, management of sepsis [books.google.com]
[…] drain urine from the bladder into a bag outside the body Are a man who has sex with men, has HIV, or hasn’t been circumcised Most of these traits also raise the odds that a simple bladder infection may become a more serious kidney infection or turn into sepsis [webmd.com]
- Recurrent Infection
These infections take longer to treat and you may be given medication intravenously (through a tube in a vein). What is a recurrent infection? If you have three or more UTIs in a year, you have a recurrent infection. [m.acog.org]
[…] practice of choosing an appropriate antimicrobial regimen and selecting an optimal dose and duration while minimizing toxicity, drug reactions and antimicrobial resistance. 18 This is particularly important in the care of patients who are susceptible to recurrent [cmaj.ca]
- Infertility
[…] loop (loop of Henle)ヘンレループ hermaphroditism半陰陽 herpes単純疱疹 hirsutism多毛症 hydronephrosis水腎症 hyperchloremic metabolic acidosis 高クロール性代謝性アシドーシス hypogastric 下腹部の hypogastric nerve 下腹神経 i ileal conduit 回腸導管 ileum 回腸 immunosuppressive drug免疫抑制薬 impotenceインポテンツ infertility [tokyo-med.ac.jp]
Lancet ii:516–517 CrossRef Google Scholar Skakkebæk NE (1978) Carcinoma in situ of the testis: frequency and relationship to invasive germ cell tumours in infertile men. [link.springer.com]
Gastrointestinal
- Abdominal Rigidity
- Suprapubic tenderness present but no dullness. - Varying degree of abdominal rigidity and distension and sometimes shifting dullness. - P/R examination: bulging of rectovesical pouch. 11. [slideshare.net]
Signs of peritoneal irritation (abdominal rigidity, rebound tenderness, and voluntary guarding) may also be present because of extravasation of blood or urine into the peritoneal cavity. [medical-dictionary.thefreedictionary.com]
Cardiovascular
- Hypotension
Presenting features There may be hypovolaemia, hypotension and shock. Clinical signs of bladder injury are relatively nonspecific. The following may occur: Macroscopic haematuria. [patient.info]
Previous studies indicated that hypovolemia, hypotension, sepsis, the use of nephrotoxic drugs, contrast media and urinary obstruction were AKI risk factors in UTI patients [ 23, 24 ]. [journals.plos.org]
Portable films were obtained 5-10 minutes following the injection. 19 patients (47.5%) were hypotensive (BP = 90 mm Hg. Before this, 19 patients put in 36 gunshot wounds, 4 stab wounds. [east.org]
Skin
- Ulcer
[…] effective, early necessary medical treatment Providing confinement or isolation of the elderly individual Unnecessary restraint in a chair or bed Failure to follow doctor orders Failure to provide the right prevention or treatment of bedsores (decubitus ulcers [rosenfeldinjurylawyers.com]
Genitourin Med 69:400–403 PubMed Google Scholar Borgström E (1988) Penile ulcer as complication in self-induced papaverine erections. [link.springer.com]
In the acute phase physical therapists focus on the patient's respiratory status, prevention of indirect complications (such as pressure ulcers), maintaining range of motion, and keeping available musculature active.[113] For people whose injuries are [en.wikipedia.org]
Urogenital
- Foul Smelling Urine
Painful urination (dysuria) Urgent need to urinate (urgency) Incontinence (urine leakage) The need to urinate at night Abnormal urine color (cloudy urine) Blood in the urine Strong or foul-smelling urine Other symptoms that may be associated with a [my.clevelandclinic.org]
Instead, nonspecific symptoms, including change in voiding habits, increase in the residual volume of urine in the bladder, foul-smelling urine, worsening of muscular spasticity and/or aggravation of autonomic dysreflexia, can be indicative of urinary [cmaj.ca]
Neurologic
- Confusion
Other common warning signs and symptoms often include: Confusion Urinary incontinence The incapacity to perform tasks that were easy to perform in the days prior Urinary Tract Infection Symptoms While every case of urinary tract infection is different [rosenfeldinjurylawyers.com]
[…] the urine Strong or foul-smelling urine Other symptoms that may be associated with a urinary tract infection include: Pain during sex Penis pain Flank (side of the body) pain Fatigue Fever (temperature above 100oF) Chills Vomiting Mental changes or confusion [my.clevelandclinic.org]
- Hyperreflexia
[…] cell tumor傍糸球体細胞腫瘍 l leiomyoma平滑筋腫 local anesthesia局所麻酔 lumbago腰痛 lymphomaリンパ腫 m macroscopic hematuria肉眼的血尿 maintenance dialysis維持透析 malformation 奇形、先天異常 medulla髄質 mesangial cellメサンギウム細胞 metastatic carcinoma転移性癌 microscopic hematuria顕微鏡的血尿 micturition hyperreflexia [tokyo-med.ac.jp]
- Myelopathy
[…] contralateral (opposite side) of the injury, there is a loss of pain and temperature sensations.[27][29] Posterior cord syndrome[edit] Posterior cord syndrome, in which just the dorsal columns of the spinal cord are affected, is usually seen in cases of chronic myelopathy [en.wikipedia.org]
Workup
Ped Clin North Am 48:1539–1557 CrossRef Google Scholar Mingin GC, Hinds A, Nguyen HT, Baskin LS (2004) Children with a febrile urinary tract infection and a negative radiologic workup: factors predictive of recurrence. [link.springer.com]
Peterson NE III Retrospective review of 157 penetrating; 225 blunt pts Workup consisted of IVP, retrograde cysto- urethrography; occasional arteriography and CT. [east.org]
Urine
- Pyuria
Pyuria is a nonspecific finding, but the absence of pyuria reasonably predicts the absence of urinary tract infection in patients with spinal cord injury. [cmaj.ca]
Urine analysis of the patients showed pyuria in 44.18 % (19 patients) and hematuria in 32.55 % (14 patients), urine cultures were positive in 31 cases (72.09%). [ispub.com]
[…] postulate仮定、仮説 pregnancy妊娠 prerenal failure腎前性腎不全 prostate前立腺 prostate cancer前立腺癌 prostate-specific antigen (PSA)前立腺特異抗原 proteinuria蛋白尿 proximal tubule近位尿細管 psychological精神的な puberty思春期 pudendal外陰部の pudendal nerve 陰部神経 pyelonephritis腎盂腎炎 pyeloplasty腎盂形成術 pyuria [tokyo-med.ac.jp]
Treatment
Kidney Injuries Treatment for kidney injuries depends on the type and severity of the injury, and whether the patient has any other injuries. [ucsfhealth.org]
These injuries require urgent treatment and close teamwork between urologic and orthopaedic surgeons. [ncbi.nlm.nih.gov]
Anytime there is a failure to diagnose a UTI in a timely manner and start treatments, it can lead to devastating results including serious harm, or death. [rosenfeldinjurylawyers.com]
Promising treatments In the future it will be possible to regenerate muscle with stem cells. Anterior root stimulators may become an alternative treatment to restore functional voiding. [cmej.org.za]
It should be a focus of treatment strategies. [books.google.com]
Prognosis
[…] anterolaterally extraluminal contrast into perivesical space (simple) molar tooth sign extension of extraluminal contrast to the thigh, scrotum or perineum (complex) combined mixed features of intraperitoneal and extraperitoneal rupture Treatment and prognosis [radiopaedia.org]
Erectile dysfunction occurs in 20-60% of patients after traumatic urethral rupture. [ 9 ] Prognosis Traumatic bladder ruptures were once uniformly fatal. They are currently usually managed successfully. [patient.info]
The best predictor of prognosis is the level and completeness of injury, as measured by the ASIA impairment scale.[121] The neurological score at the initial evaluation done 72 hours after injury is the best predictor of how much function will return. [en.wikipedia.org]
Lack of fever may contribute to lower resistance to infection, delayed recovery [ 17 ], higher mortality rate, and poor prognosis [ 46 ]. [journals.plos.org]
Etiology
OBJECTIVE: To perform a comprehensive literature review of the incidence, location, etiology, timing, management, and long-term sequelae of urinary tract injury in gynecologic laparoscopy for benign indication. [ncbi.nlm.nih.gov]
URETHRAL INJURIESURETHRAL INJURIES Injuries of membranous urethra: Etiology: I. [slideshare.net]
Etiology Bladder rupture can be categorized into five types depending on the location and extent of the rupture: Bladder contusion This is commonly seen but sometimes not classed as true rupture, since it involves an incomplete tear of the mucosa. [radiopaedia.org]
Incidence, etiology, and risk factors for fever following acute spinal cord injury. J Spinal Cord Med 2006;29:501-506( V ) 13) Montgomerie JZ. Infections in patients with spinal cord injuries. [minds.jcqhc.or.jp]
J Am Acad Dermatol 35:486–487 PubMed CrossRef Google Scholar Pandhi RK, Kumar AS, Satish DA, Bhutani LK (1984) Fixed drug eruptions on male genitalia: clinical and etiologic study. [link.springer.com]
Epidemiology
Finally, all primary data were collected according to procedures outlined in epidemiology guidelines to strengthen the reporting of observational studies. [journals.plos.org]
Clinical Epidemiology. 6: 309–31. doi:10.2147/CLEP.S68889. PMC 4179833. PMID 25278785. ^ Field-Fote 2009, p. 3. ^ Devivo MJ (May 2012). "Epidemiology of traumatic spinal cord injury: trends and future implications". [en.wikipedia.org]
Scand J Urol Nephrol 148 [Suppl]:1–47 Google Scholar Giwercman A, von der Maase H, Skakkebæk NE (1993) Epidemiological and clinical aspects of carcinoma in situ of the testis. [link.springer.com]
Epidemiology and risk factors for urinary tract infection in patients with spinal cord injury. J Urol 2000;164:1285-1289( V ) 4) Biering-Sørensen F, Bagi P, Høiby N. Urinary tract infections in patients with spinal cord lesions. [minds.jcqhc.or.jp]
Pathophysiology
Pathophysiology SCIs are common, especially in South Africa, where road accidents and violent crimes often occur. SCIs do not usually cause complete anatomical transection of the cord. [cmej.org.za]
Pathophysiology and Management of Fever. J Support Oncol. 2006; 4: 9–16. View Article Google Scholar 18. Kushimoto S, Yamanouchi S, Endo T, Sato T, Nomura R, Fujita M, et al. [journals.plos.org]
"Epidemiology, demographics, and pathophysiology of acute spinal cord injury". Spine. 26 (24 Suppl): S2–12. doi:10.1097/00007632-200112151-00002. [en.wikipedia.org]
Prevention
Like with other preventive plans such as vaccination, for instance, it is important to explore the effectiveness of this new preventive approach. [clinicaltrials.gov]
Effective methods to prevent UTI in people with SCI have been sought for many years. [cochrane.org]
Therefore, continuous follow-up of the SCI and the patient’s urinary tract is important to prevent long-term complications, especially to the upper tract. [cmej.org.za]
Of concern is the fact that most of the ureteric injuries were diagnosed post operatively which means that further vigilance and preventive strategies need to be designed. © 2007 S. [karger.com]