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Ch 7 Urinary Tract
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Function Remove nitrogenous wastes from the bloodstream
Becomes toxic if accumulates
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Kidneys and Ureters Kidneys Ureters Nephr/o Ureter/o Nephroptosis
Nephrolithiasis Hydronephrosis Nephrostomy Ureters Ureter/o Ureteroplasty Ureterolithotomy
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Bladder Bladder Cyst/o Vesic/o Cystitis Cystostomy Cystoscopy
Perivesical Vesicoureteral reflux
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Trigone, urethra, meatus
Trigon/o Urethra Urethr/o Urethritis Urethral stricture Meatus Meat/o Meatotomy
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Closer Look At Kidney Hilum/hilus: depression or pit in kidney where blood vessels and nerves enter and leave Cortex: outer area of kidney Medulla: inner area, location of pyramids
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Closer Look At Kidney Calix, calyx or calices, calyces: Renal Pelvis:
cali/o, calic/o Caliceal Cup like collection region of the renal pelvis Renal Pelvis: pyel/o Pyelolithotomy Pyelonephritis Central collecting region of kidney
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Nephrons Glomerulus- glomerul/o glomerulonephritis Tubule 1 mil/kidney
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Creation of Urine Filtration: Afferent blood is filtered through glomerulus and water, sugar, salts, and waste are absorbed into Bowman capsule which is continuous with the tubule.
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Creation of Urine Reabsorption: Efferent capillaries surrounding tubule reabsorb all of the sugar, most of the water and some of the salts.
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Creation of Urine Secretion: As capillaries go from arterial to venous, waste products of metabolism are secreted by the venules such as acids, drugs (such as penicillin) and potassium (a salt) from the bloodstream into the tubule.
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Path of Urine TUBULES CALYCES RENAL PELVIS URETER BLADDER URETHRA
MEATUS
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Contents of Urine Urinalysis (UA) info important to know, but not on the test!
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Urinary Conditions Ur/o, urin/o, -uria An/uria Bacteri/uria Dys/uria
Glycos/uria Hemat/uria Noct/uria vs enuresis Olig/uria Poly/uria- poly/dipsia Py/uria (UTI= cystitis)
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Blood Conditions Azot/o = azotemia Uremia Hyperkalemia Hyponatremia
Nitrogen elevated - BUN Uremia Hyperkalemia Hyponatremia
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Dialysis CKD – chronic kidney disease CRF – chronic renal failure
ESRD – end stage renal disease HD – hemodialysis PD – peritoneal dialysis
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Renal Calculi Kidney stones Nephrolithiasis Lithotripsy
ESWL – extra corporeal shock wave lithotripsy
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Intravenous vs Retrograde Pyelogram
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Abbreviations ARF – acute renal failure BUN – blood urea nitrogen
CKD – chronic kidney disease CRF – chronic renal failure C&S – culture and sensitivity testing ESRD – end stage renal disease ESWL – extra corporeal shock wave lithotripsy HD - hemodialysis KUB – kidney, ureter, bladder PD – peritoneal dialysis UA – urinalysis UTI – urinary tract infection
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Female Reproductive System
Chapter 8
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Men/arche = puberty Ovulation Oophor/o, ovari/o o/o, ov/o, ovul/o
Oophoritis Oophorectomy Ovarian o/o, ov/o, ovul/o Oogenesis
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Coitus = intercourse Fertilization Salping/o -salpinx Salpingitis
Salpingectomy -salpinx Pyosalpinx Hydrosalpinx Hematosalpinx
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Gestation/Pregnancy -cyesis -gravida Pseudocyesis Salpingocyesis
Nulligravida Primigravida Multigravida
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Uterus Hyster/o Uter/o Hysterectomy Hysterosalpingo-gram (HSG) Uterine
Utero-ovarian ligament
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Uterus Metr/o, metr/i Cervic/o Endometrium Myometrium Serosa
cervicitis
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Embryonic Membranes Amni/o Chori/o Chorion/o amniocentesis
choriogenesis Chorion/o chorionic
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Parturition: Act of giving birth
-tocia dystocia -parous Nulliparous Primiparous Multiparous EmPHAsis on the correct sylLABle
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Vagina and Vulva Colp/o Vagin/o Episi/o Vulv/o Perine/o Culd/o
Colporrhaphy Vagin/o Vaginitis Episi/o Episiotomy Vulv/o Vulvar Perine/o Perineorrhaphy Culd/o culdocentesis
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Female Reproductive System
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Ovulation – NO fertilization
Menstruation Oligomenorrhea Dysmenorrhea Menorrhagia Metrorrhagia Menometrorrhagia DUB: dysfunctional uterine bleeding
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Menopause Amenorrhea Cessation of menstruation Ova depleted
Estrogen secretion lessens Hot flashes and insomnia Estrogen replacement therapy
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Carcinoma of the Cervix
Human papillomavirus infection Dysplasia Carcinoma in situ (CIS) Screening test is Pap test Conization Hysterectomy – TAH-BSO Exenteration: removal of most organs of pelvis
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Endometriosis
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Uterine Fibroids Leiomyomata Myomectomy
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Accessory Organ: Breasts
Mamm/o Mammogram Mammoplasty Augmentation Reduction Mast/o Mastectomy Mastitis
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Lactation Galact/o Galactorrhea Lact/o Lactogenesis Lactation
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Carcinoma of the Breast
Sentinel node biopsy (SNB) Lumpectomy Mastectomy TRAM flap for reconstruction Fibrocystic disease
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Ectopic Pregnancy Salpingocyesis Usually tubal Rupture is dangerous
Tube is usually destroyed
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No Neonatal Conditions (pages 281)
We will cover them in the appropriate chapter Examples: Down Syndrome in chapter 2 Pyloric stenosis in chapter 5 & 6
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Tubal Ligation
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Amniocentesis
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Procedures Pap test Tubal ligation HSG Amniocentesis Mammography
Colposcopy Conization Cryosurgery Culdocentesis Exenteration Laparoscopy
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Abbreviations BSE CIS D&C DUB EDC HSG Pap test SNB TAH-BSO TRAM flap
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