× Dag, 171 127220607.pdf fimg-171127220607 pdf FINAL DIAGNOSIS 1. Prostatic cong
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× Dag, 171 127220607.pdf fimg-171127220607 pdf FINAL DIAGNOSIS 1. Prostatic congestion and posterior urethritis. OPERATIOgs: Cystourethroscopy· COMPLICATIONS: None PROGNOSIS: Good CONDITION ON DISCHARGE: Good This is a 12-year old white male who presents with a problem of recurrent episodes of dysuria, low grade fever and back pain over the past few months The syaptoms have responded to some antibiotics, no we11-documented infectl has been identified however. The physical exanination was unremarkable. LABORATORY DATA: SMA-18 was within normal limits with a BUN of 8, creatinir white cells per high power fiald. AN IVP and voiding cys tourethrogram wais of 1.0. Hemoglobin 13, hematocrit 39, white count 4,000. There were 4-5 within normal limits. HOSPITAL COURSE: The patient was taken to surgery where under general anesthesia a cystourethroscopy was performed. The patient had an uncomp1i cated postoperative course, voided without difficulty, his urine cleared, and he was discharged to be folloved in the office in approximately two weeks 02Explanation / Answer
MEDICAL TERM ANALYSIS:
Branded as an endoscopic process, cystoscopy is used by urologists to inspect the complete bladder coating and take biopsies of any zones that look doubtful. This examination is not used on a monotonous foundation, but may profit the urologist who is demanding additional info about a patient who exhibits the subsequent indications or diagnosis:
-blood in the urine also recognized as hematuria
-incontinence or the incapability to regulate urination
-a urinary tract contamination
-a urinary tract which show marks of congenital irregularities
-tumors situated in the bladder
-the presence of bladder or kidney stones
-a difficulty or stressed feeling of the urethra or ureters
-indications of an distended prostate
Blood and urine trainings, in adding to x rays of the kidneys, ureters and bladder may all happen before a cystoscopy. At the period of surgery, a backward pyelogram may also be achieved. Supplementary blood educations may be wanted directly subsequent operation.
Precautions
While the cystoscopy technique is usually relied upon to crease supplementary analytic info, it is an invasive medical method that may include dangers for certain patients. Those who are tremendously overheavy (obese), smoke, are recuperating from a recent infection, or are giving a chronic illness may face supplementary jeopardies from operation.
Surgical jeopardy also upsurges in patients who are presently using convinced drugs counting antihypertensive; muscle relaxants; tranquilizers; snooze inducers; insulin; tranquilizers; beta blockers; or cortisone. Those who use mind changing medications also put themselves at augmented jeopardy of difficulties during operation. The subsequent mind varying medications should be evaded: narcotics; psychedelics; hallucinogens; marijuana; tranquilizers; hypnotics; or cocaine.
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