Abnormalities in micturition: Difference between revisions
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nocturia | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nocturia | ||
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! rowspan=" | ! rowspan="10" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inflammatory | ||
! rowspan="2" style="background: #DCDCDC; text-align: center;" |[[Dermatological lesions|Dermatological disorders]] | ! rowspan="2" style="background: #DCDCDC; text-align: center;" |[[Dermatological lesions|Dermatological disorders]] | ||
| style="background: #DCDCDC; text-align: center;" |[[Lichen sclerosus]]<ref name="pmid26056492">{{cite journal |vauthors=Ventolini G, Patel R, Vasquez R |title=Lichen sclerosus: a potpourri of misdiagnosed cases based on atypical clinical presentations |journal=Int J Womens Health |volume=7 |issue= |pages=511–5 |date=2015 |pmid=26056492 |pmc=4431497 |doi=10.2147/IJWH.S82879 |url=}}</ref> | | style="background: #DCDCDC; text-align: center;" |[[Lichen sclerosus]]<ref name="pmid26056492">{{cite journal |vauthors=Ventolini G, Patel R, Vasquez R |title=Lichen sclerosus: a potpourri of misdiagnosed cases based on atypical clinical presentations |journal=Int J Womens Health |volume=7 |issue= |pages=511–5 |date=2015 |pmid=26056492 |pmc=4431497 |doi=10.2147/IJWH.S82879 |url=}}</ref> | ||
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* [[Urethritis]] | * [[Urethritis]] | ||
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! rowspan=" | ! rowspan="8" style="background: #DCDCDC; text-align: center;" |[[Infectious disease|Infectious diseases]] | ||
| style="background: #DCDCDC; text-align: center;" |[[Cystitis]]<ref name="pmid21789096">{{cite journal |vauthors=Grover S, Srivastava A, Lee R, Tewari AK, Te AE |title=Role of inflammation in bladder function and interstitial cystitis |journal=Ther Adv Urol |volume=3 |issue=1 |pages=19–33 |date=February 2011 |pmid=21789096 |pmc=3126088 |doi=10.1177/1756287211398255 |url=}}</ref><ref name="pmid24282470">{{cite journal |vauthors=Eken A, Alma E |title=Emphysematous cystitis: The role of CT imaging and appropriate treatment |journal=Can Urol Assoc J |volume=7 |issue=11-12 |pages=E754–6 |date=2013 |pmid=24282470 |pmc=3840514 |doi=10.5489/cuaj.472 |url=}}</ref> | | style="background: #DCDCDC; text-align: center;" |[[Cystitis]]<ref name="pmid21789096">{{cite journal |vauthors=Grover S, Srivastava A, Lee R, Tewari AK, Te AE |title=Role of inflammation in bladder function and interstitial cystitis |journal=Ther Adv Urol |volume=3 |issue=1 |pages=19–33 |date=February 2011 |pmid=21789096 |pmc=3126088 |doi=10.1177/1756287211398255 |url=}}</ref><ref name="pmid24282470">{{cite journal |vauthors=Eken A, Alma E |title=Emphysematous cystitis: The role of CT imaging and appropriate treatment |journal=Can Urol Assoc J |volume=7 |issue=11-12 |pages=E754–6 |date=2013 |pmid=24282470 |pmc=3840514 |doi=10.5489/cuaj.472 |url=}}</ref> | ||
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!Diseases | |||
!Fever | |||
!Dysuria | |||
!Frequency | |||
!Dribbling | |||
!Hesitancy | |||
!Nocturia | |||
!Suprapubic tenderness | |||
!Skin lesions | |||
!Other | |||
!CBC | |||
!Electrolytes | |||
!Urinalysis | |||
!Ultrasonography | |||
!CT scan | |||
!Other | |||
!Gold standard | |||
!Additional findings | |||
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| style="background: #DCDCDC; text-align: center;" |[[Cervicitis]] | | style="background: #DCDCDC; text-align: center;" |[[Cervicitis]] |
Revision as of 20:07, 9 July 2018
Micturation Abnormalities Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Classification
- There is no established system for the classification of abnormalities in micturition.
Causes
- The causes of abnormalities in micturition includes causes of dysuria and incontinence:
Abnormalities of Micturition Differential Diagnosis
Differentiating the diseases that can cause abnormality in micturition:
Abbreviations: N= Normal, UTI= Urinary tract infection, CBC= Complete blood count, CT= Computed tomography, IBS= Irritable bowel syndrome, DRE= Digital rectal examination, HSV= Herpes simplex virus,
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | ||||||||||||||||||
Lab Findings | Imaging | ||||||||||||||||||
Fever | Urinary symptoms | Supra-pubic tenderness | Skin lesions | Other | CBC | Electrolytes | Urinalysis | Ultrasonography | CT scan | Other | |||||||||
Dysuria | Frequency | Dribbling | Hesitancy | Nocturia | |||||||||||||||
Inflammatory | Dermatological disorders | Lichen sclerosus[1] | – | + | – | – | + | – | – | Lichenified plaques | – | N | N | often shows UTI in women | N | N | N | Biopsy | |
Behcet's syndrome[2][3][4] | – | + | + | – | + | + | – | aphthous ulcer in mouth | N | N | N | N | N | N | None |
| |||
Infectious diseases | Cystitis[5][6] | + | + | + | + | + | + | + | N | – | Leukopenia | N |
|
||||||
Urethritis[7][8][9] | + | + | + | – | + | – | + |
|
– | Leukocytosis | N | ||||||||
Pyelonephritis | + | + | + | – | – | – | ± | ||||||||||||
Vulvovaginitis | + | + | + | + | + | – | – | ||||||||||||
Diseases | Fever | Dysuria | Frequency | Dribbling | Hesitancy | Nocturia | Suprapubic tenderness | Skin lesions | Other | CBC | Electrolytes | Urinalysis | Ultrasonography | CT scan | Other | Gold standard | Additional findings | ||
Cervicitis | + | ± | + | ± | – | – | + | ||||||||||||
Prostatitis | + | + | + | + | + | + | + | ||||||||||||
Epididymoorchitis | + | + | – | + | – | – | – | ||||||||||||
Non-inflammatory | Anatomic | Urethral stricture | – | ||||||||||||||||
Benign prostatic hyperplasia (BPH) | – | + | + | + | + | + | – | ||||||||||||
Drug | Spermicides | – | |||||||||||||||||
Cyclophosphamide | – | + | |||||||||||||||||
Endocrine disorders | Atrophic vaginitis | – | |||||||||||||||||
Endometriosis | – | + | |||||||||||||||||
Malignancy | Bladder cancer | – | – | ||||||||||||||||
Vulvovaginal cancer | ± | – | |||||||||||||||||
Iatrogenic | Genitourinary instrumentation | + | – | ||||||||||||||||
Pelvic irradiation | – | ||||||||||||||||||
Trauma | ± | ± |
References
- ↑ Ventolini G, Patel R, Vasquez R (2015). "Lichen sclerosus: a potpourri of misdiagnosed cases based on atypical clinical presentations". Int J Womens Health. 7: 511–5. doi:10.2147/IJWH.S82879. PMC 4431497. PMID 26056492.
- ↑ Theodorou C, Floratos D, Hatzinicolaou P, Vaiopoulos G (August 1999). "Neurogenic bladder dysfunction due to Behçet's disease". Int. J. Urol. 6 (8): 423–5. PMID 10466456.
- ↑ Porru D, Pau AC, Scarpa RM, Zanolla L, Cao A, Usai E (May 1996). "Behçet's disease and the neuropathic bladder: urodynamic features: case report and a literature review". Spinal Cord. 34 (5): 305–7. PMID 8963981.
- ↑ Cetinel B, Akpinar H, Tüfek I, Uygun N, Solok V, Yazici H (January 1999). "Bladder involvement in Behçet's syndrome". J. Urol. 161 (1): 52–6. PMID 10037367.
- ↑ Grover S, Srivastava A, Lee R, Tewari AK, Te AE (February 2011). "Role of inflammation in bladder function and interstitial cystitis". Ther Adv Urol. 3 (1): 19–33. doi:10.1177/1756287211398255. PMC 3126088. PMID 21789096.
- ↑ Eken A, Alma E (2013). "Emphysematous cystitis: The role of CT imaging and appropriate treatment". Can Urol Assoc J. 7 (11–12): E754–6. doi:10.5489/cuaj.472. PMC 3840514. PMID 24282470.
- ↑ Glicksman, Joseph M. (1967). "Gonococcal Skin Lesions". Archives of Dermatology. 96 (1): 74. doi:10.1001/archderm.1967.01610010080015. ISSN 0003-987X.
- ↑ Siboulet, A. (1955). "Inclusion Bodies in Non-Gonococcal Urethritis, also Skin Lesions with Inclusions". Sexually Transmitted Infections. 31 (4): 235–237. doi:10.1136/sti.31.4.235. ISSN 1368-4973.
- ↑ Tsai, Chia-Chun; Li, Ching-Chia (2013). "Nonchlamydial nongonococcal urethritis in men". Urological Science. 24 (3): 73–77. doi:10.1016/j.urols.2013.06.001. ISSN 1879-5226.