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Laurel Shared "Elimination" - 9 Picmonics

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Elimination

Benign Prostatic Hyperplasia (BPH) Assessment
Assessment
Men Over 50
Enlarged Prostate Gland
Urinary Retention
Weak Urine Stream
Frequency
Urgency
Nocturia
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1 min
Benign Prostatic Hyperplasia (BPH) Interventions
Interventions
Timed Voiding
Decreased Caffeine Intake
Catheterization
Medications
Finasteride (Proscar)
Tamsulosin (Flomax)
Surgical Interventions
TURP Procedure
Open Prostatectomy
Continuous Bladder Irrigation (CBI)
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2 mins
Renal Calculi Assessment
Cause/Mechanism
Hypercalcemia (Most Commonly)
Signs and Symptoms
Flank Pain
Radiates Toward Bladder
Renal Colic
Urinary Tract Infection
Urinary Retention
Hematuria
Considerations
Stone Recurrence
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2 mins
Renal Calculi Interventions
Interventions
Increase Fluid Intake
Opioids
NSAIDs
Antibiotics
Lithotripsy
Surgical Stone Removal
Considerations
Identify Type CT-KUB
Low Sodium Diet
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2 mins
Intestinal Obstruction
Partial/Early Obstruction
Severe Abdominal Pain
Vomiting
High Pitched Bowel Sounds
Abdominal Distention
Increased Peristalsis
Total/Neurogenic Obstruction
Absent Bowel Sounds
Paralytic Ileus
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1 min
Types of Intestinal Obstruction
Mechanical
Adhesions
Hernia
Volvulus
Intussusception
Tumor
Non-Mechanical
Mesenteric Artery Occlusion
Spinal Injury
Paralytic Ileus
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2 mins
Colostomy Care
Wash with Warm Water
Cut 1/8 inch Around Stoma
Decreases Skin Irritation
Empty When 1/3 to 1/2 Full
Change 3-7 Days
Considerations
Avoid Odor Causing Foods
Irrigate at Same Time
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2 mins
Abnormal curvatures of the Penis
Chordee Penis is a Ventrally folded, poorly developed Penis
Chordee Associated with hypospadias
Peyronie's disease
Peyronie's disease due to subq fibrosis of penis
Peyronie disease- fibrosis specifically of the Tunica Albuginea
hypospadias- must wait to circumcise for 6 mos
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Wilm's Tumor Syndromes
WAGR Syndrome
Aniridia
Genital abnormalities
Mental/Motor Retardation
Due to Deletion of WT1 tumor suppressor gene
Denys-Drash Syndrome
Progressive renal (glomerular) disease
Male pseudohermaphroditism
Mutations of WT1
Beckwith-Wiedemann Syndrome
Neonatal Hypoglycemia
Muscular hemihypertrophy
Organomegaly
Mutations in WT2 gene cluster
Especially IGF-2
Hepatoblastoma
Abdominal wall defects (omphalocele, hypospadias)
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