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ur/o, urin/o
urine, urinary tract
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azot:
nitrogenous compounds
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-iasis
abnormal condition (produced by something specified)
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-lysis
separation; destruction; loosening
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-pexy
fixation of an organ
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-ptosis
prolapse, downward displacement
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azotemia
toxic condition caused by the kidney's failure to remove urea from the blood
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cytoscoply
used to diagnose urinary tract disorder, obtain tissue and urine samples, excise tumors, or inject a contrast medium into the bladder
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glomerulus
- cluster of capillaries forming the structural and functional unit of the kidney known as the nephron.
- Glomerular capillaries filter fluid, the first step in urine formation
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enter/o
intestine (usually small intestine)
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scler/o
hardening; sclera (white of eye)
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-ectasis
dilation, expansion
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supra
above, excessive, superior
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Urinary system composed of...
kidneys, ureters, bladder & urethra
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what is the purpose of the urinary system?
regulate the volume and composition of fluids in the body and remove waste substances and excess fluid from the blood
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main function of kidneys
regulate the amount of water in the body and keep the body fluids at a constant concentration and acid-base level.
Achieve this by filtering blood and excreting waste substances and excess water as urine. Other essential substances are reabsorbed into the bloodstream by REABSORPTION.
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why is homeostasis necessary?
stable environment is necessary for the cells of the body to survive and carry out their functions effectively
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kidney dialysis
artificial kidney that filters impurities out of blood
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urologists
treats disorders of the female and male urinary systems.
Also the male reproductive system
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nephrologists
diagnosis and manage kidney disease, kidney transplantation and dialysis therapies
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vesicocele
hernial protrusion of urinary bladder
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kidney stone (nephrolith or renal calculus)
vary in size from microscopic (sand or gravel) to large enough to block the ureter or fill the renal pelvis
leads to nephritis & nephralgia
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abnormal condition of kidney stone
nephrolithiasis
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renal hypertenstion
produced by kidney disease
most common type of hypertension caused by glomerulonephritis or renal artery stenosis
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nephrotic syndrome
- group of symptoms:
- -chronic loss of protein in urine proteinuria (leads to depletion of body protein, especially albumin)
- -albumin (and other serum proteins) maintain fluid within the vascular space.
- -when levels of proteins are low, fluid leaks from blood vessels into tissues, resulting in edema
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Characteristic of nephrotic syndrome
edema, especially around ankles, feet, and eyes
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fluid retention
excess fluid in tissues
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What is prescribed to control edema and stimulate flow of urine?
Diuretic drugs (coffee is one)
- edema around ankles and feet may be due to high sodium diet.
- -physician may prescribe low-sodium diet
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What causes nephrosclerosis?
hypertension - arteriosclerosis causes thickening of renal blood
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incision to remove a kidney stone
nephrolithotomy
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what causes the prolapse of a kidney?
nephroptosis (floating kidney) can be caused by birth defect or injury
downward displacement may occur because the kidney supports are weakened due to sudden strain or blow
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fixation of kidney
nephropexy
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path of urine from kidney to...
- ureters
- urinary bladder
- urethra
- urinary meatus
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ureterectasis
dilation/expansion of ureter
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crushing of a stone or calculus
lithotripsy
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what causes ureteritis?
- infection or
- mechanical irritation of a stone
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abnormal condition (produced by something specific) of a ureteral stone
urterolithiasis
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incision of ureter to remove a stone
ureterolithotomy
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what causes ureterectasis?
dilation/exapansion of ureter
- -renal calculi get trapped in the ureter THEN
- -urine is blocked causing pressure on the walls of the ureter
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urinary bladder is a muscular sac
stores urine until voided
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special instrument for examining the ureter and bladder
urterocystoscope
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what is a hernia?
protrusion of an anatomical structure through the wall that normally contains it
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what is a cystocele?
herniation of urinary bladder through the vaginal wall caused by weakened pelvic muscles
develops over years as vaginal muscles weaken and can no longer support the weight of urine in the bladder.
causes urinary retention in the part of the bladder that pouches into the vagina
may be caused by childbirth or age
usually occurs after a woman has delivered several infants and elderly persons because of weakened pelvic muscles
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what is a rectocele?
herniation of the rectum toward the vagina through weakened vaginal muscles
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cystoscope
inserted through the urethra to examine the urinary bladder
has optical lighting system, special lenses and mirrors
can obtain biopsy specimens and remove tumors and small stones (video attachment can be used to create a permanent visual record)
catheters may be placed through the cystoscope to obtain urine samples and to inject a contrast medium into bladder during radiography
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2 common UTI in women
cystitis and urethritis
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what is urethral stricture?
narrowing of the lumen (tubular space) caused by scar tissue
results in diminished urinary stream and causes UTIs because of urinary flow obstruction
- -commonly results when catheters or surgical instruments are inserted into the urethra
- -other causes are untreated gonorrhea and congenital abnormalities.
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visual examination of urethra and bladder
cystourethroscopy
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benign tumors
- do not invade surrounding tissue
- contained within a capsule
- only harmful when they place pressure on adjacent structures
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malignant tumors
- spread rapidly
- invasive
- life-threatening
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what is the most common renal tumor?
adenocarcinoma (malignant glandular tumor)
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adenoma
benign glandular tumor composed of tissue from which it is developing
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what are nephrons?
microscopic filtering units of the kidneys
designed to filter urea and other waste products from blood
nephrons are also responsible for maintaining homeostasis (keeping body fluids in balance)
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where is urine collected?
calyces (funnel shaped extension) and then emptied into the renal pelvis and through the ureters.
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another word for urination
micturition
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pyelitis
inflammation of renal pelvis
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what are the 1 million microscopic filtering units in each kidney that are designed to form urine in the process of filtration, reabsorption, and secretion?
Nephrons
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What does each nephron contain?
glomerulus, collecting tubule, bowman capsule
nephrons maintain homeostasis in the body by selectively removinig waste products from blood by forming urine
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glomerulus
tiny ball of coiled, intertwined capillaries
surrounded by the bowman capsule
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collecting tubule
convey newly formed urine to the renal pelvis where it is excreted by the kidneys
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glomerulonephritis
inflammatory disease of the kidney that involves the glomerulus primarily
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- hypertension, oliguria, electrolyte imbalances and edema
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renal pelvis
funnel shaped dilation that drains urine from the kidney into the ureter
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pyelography
radiographic study of kidney, ureters and bladder after injection of a contrast agent
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KUB
Kidney ureter bladder - radiographic examination
determines urinary tract abnormalities - tumors, swollen kidneys, & calculi
identifies location, size, shape and malformation of the kidneys, ureters and bladder
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IVP
- intravenous pyelography
- pyelogram, urogram: image produces
-provides multiple radiographic images of the renal pelvis and urinary tract after injection of a contrast medium.
- -provides detailed information about the structure and function of the entire urinary tract; kidneys, ureters, bladder, and urethra
- - used to identify nephroliths and ureteroliths
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RP
retrograde pyelography
radiographic images taken after contrast medium is injected through a urinary catheter (and cystoscope) directly into the urethra, bladder, and ureters
useful in locating urinary tract obstruction
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nephroscope
fiberoptic instrument used to visualize kidney and disintegrate & remove renal calculi
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what happens to renal pelvis when the physician inserts a nephroscope
incised
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what is a bacterial infection of the renal pelvis and kidney caused by bacterial invasion from the middle and lower urinary tract or bloodstream?
pyelonephritis
bacteria may gain access into the bladder via the urethra and ascend to the kidney
-can be extremely dangerous for pregnant women because it can cause premature labor
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4 common types of hernias
cysto, urethro, recto, entero
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urotoxin
poisonous substance in urine
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discharge of pus
pyorrhea
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abnormal condition of pus from kidney
pyonephrosis
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what is a common diagnostic test that provides early detection of renal disease?
urinalysis - look for blood, pus or other chemicals properties
physical, chemical microscopic evaluation of urine
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what is an enlargement of the kidney due to constant pressure from backed-up urine in the ureter?
HYDRONEPHROSIS
caused by stricture, tumor, or stone in proximal part of ureter
causes pain, hematuria, and pyuria
- when obstruction occurs in the distal part of the ureter, the condition is called
- hydroureter with hydronephrosis
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pyuria
- pus in urine
- excessive number of white blood cells in urine
- sign of UTI
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PKD
polycystic kidney disease
abnormal condition where kidneys are enlarged and contain many cysts
kidney failure commonly develops over time which requires dialysis or kidney transplantation
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incontinence
uncontrolled loss of urine from the bladder
(elderly)
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cystitis
inflammatory condition caused by bacterial infection
characterized by pain, frequent urination, sometimes hematuria
more common in women due to shorter urethra & closeness of urethra to the anus
urinalysis reveals bacteriuria and pyuria
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pyelonephritis
inflammation of the renal pelvis and the kidney
common type of kidney disease and a frquent complication of cystitis
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glomerulonephritis
form of nephritis in which lesions involve primarily the glomeruli
may result in proteinuria & hemturia
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ARF
acute renal failure
condition that impairs flow of blood to the kidneys, such as shock, injury, or exposure to toxins
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what occurs when salts in the urine precipitate (settle out of solution and grow in size)?
Nephrolithiasis
stone must be excreted or crushed
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ESWL
EXTRACORPOREAL SHOC-WAVE LITHOTRIPSY
sound vibrations to break up calculi in urinary tract or gallbladder
US is uwed to locate and monitor stones as they are being destroyed.
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Azoturia
increase of nitrogenous substances, especially urea, in urine
(may be called uremia)
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diuresis
increased formation and secretion of urine
di: double
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dysuria
painful or difficult urination, symptomatic of cystitis and other urinary tract conditions
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ESRD (also called CRF)
end stage renal disease (chronic renal failure)
kidney disease that advanced to the point that kidneys can no longer adequately filter the blood. Requires dialysis or renal transplantation for survival
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enuresis
involuntary discharge of urine after the age that bladder control should be established
(bed-wetting or nocturnal enuresis)
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hypospadias
abnormal congenital opening of the male urethra on the undersurface of the penis
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interstitial nephritis
pathological changes in the renal interstitial tissue that may be primary due to a toxic agent (drug).
results in destruction of nephrons and severe impairment of renal function
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renal hypertension
high BP that results from kidney disease
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uremia
elevated level of urea and other nitrogenous waste products in the blood as occurs in renal failure (aka azotemia)
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Wilms tumor
malignant neoplams of the kidney that occurs in young children (under 5)
early signs: hypertension, palpable mass, pain, hematuria
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BUN
blood urea nitrogen - lab test that measures the urea (nitrogenous waste product) in blood and demonstrates the kidney's ability to filter urea from the blood for excretion in urine
increase in BUN indicates impaired kidney function
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CT
computed tomography
-radiographic technique that uses a narrow beam of x-rays that rotates in a full arc around the patient. multiple view produce cross-sectional images of that body part
used to diagnose kidney, ureter, bladder tumors, cysts, inflammation, abscesses, perforation
with or without contrast medium
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renal scan
nuclear medicine imaging procedure that determines renal function and shape through measurement of a radioactive substance thats injected intravenously and concentrates in the kidney
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VCUG
voiding cystourethrography
radiography of bladder and urethra after filling the bladder with a contrast medium and during the process of voiding urine
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catheterization
- insertion of catheter into body cavity to instill or remove a substance.
- 2 types of catheters: straight & indweeling
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renal (or kidney) transplantation
organ transplant of a kidney in a patient with endstage renal disease
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dialysis
mechanical filtering process used to cleanse blood of high concentration of metabolic waste products, draw off excess fluids, and regulate body chemistry when kidneys fail to function properly
hemodialysis and peritoneal dialysis
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hemodialysis
removes excess fluids and toxins from the blood by continually shunt the patient's blood from the body into a dialysis machine for filtering and then returning the clean blood to the patient's body via tubes connected to the circ system
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peritoneal dialyis
patient's own peritoneum is used as the dialysis membrane
dialyzing fluid passes through a tube into the peritoneal cavity and remains there for a prescribed period. During this time, wastes diffuse across the peritoneal membrane into the fluid. Contaminated fluid then drains out and is replaced with fresh solution
repeated as often as required and may be continuous or intermittent
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