By Axel S. Merseburger, Markus A. Kuczyk, Judd W. Moul
ISBN-10: 364254858X
ISBN-13: 9783642548581
ISBN-10: 3642548598
ISBN-13: 9783642548598
Urology at a look is a concise, useful consultant to diagnostic and healing selection making. The e-book is split into components. the 1st specializes in the pathway from symptom to analysis and covers the entire diversity of indicators regularly encountered through the urologist. Any specific symptom should be positioned inside of a question of seconds and in every one case differential analysis is defined simply by a circulate chart. the second one a part of the booklet is dedicated to the pathway from analysis to remedy, with each one brief bankruptcy dedicated to a particular prognosis. uncomplicated details is equipped at the ailment in query, besides an overview of state-of-the-art healing procedures and attainable problems. back, movement charts are used to aid the reader to arrive the proper healing selection in numerous conditions. quite a few high-definition images and illustrations also are incorporated. This publication might be an outstanding asset for urologists and practitioners in comparable disciplines.
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Extra resources for Urology at a Glance
Example text
1 Differential diagnosis and diagnostic procedures for back pain workup Differential diagnosis Benign musculoskeletal diseases Spondylolysis Scoliosis Spinal disc herniation Degenerative spinal disc changes Spinal infections Discitis Vertebral osteomyelitis Epidural abscess Tumors that may affect the spine Leukemia Lymphoma Sarcoma Neurofibroma Trauma Nonspecific musculoskeletal pain Nephrolithiasis Pyelonephritis Renal masses Retroperitoneal metastasized tumors Chronic pain syndrome Others Pneumonia Myalgia Paraspinous muscle abscess Diagnostics Physical examination Imaging (X-ray, MRI) Physical examination Laboratory features (CRP, leukocytes) Imaging (CT, MRI) Laboratory features (complete blood count) Imaging (CT, MRI, bone scan) Anamnesis Physical examination Imaging (depending on anamnesis) Anamnesis Physical examination Anamnesis Laboratory features (creatinine, microscopic hematuria) Ultrasound, CT Anamnesis Physical examination Laboratory features (CRP, leukocytes, leukocyturia) Urine culture Imaging (Ultrasound, CT) Anamnesis Ultrasound, CT Anamnesis Physical examination Ultrasound, CT Anamnesis Anamnesis Physical examination Laboratory features (CRP, leukocytes) Imaging (dependent on suspected diagnosis) Reference 1.
Elevated creatinine level and microscopic hematuria help confirm the diagnosis. Nowadays, a native CT scan is the diagnostic tool of choice in renal and ureter stones (Fig. 2a, b). 8 Back Pain 37 Backpain Anamnesis: Physical examination: • Pain onset (acute/chronic) • Pain character (radiating or not, motiondependent or not, intensity) • Accompanying symptoms (fever, weakness, neurological impairment, weight loss, dysuria, vomiting, nausea) • Current ongoing illnesses, previous surgeries, medication • Physical and social activity • Inspection and palpation of the back, the flanks, the abdomen, the limbs and the genital region • Neurologic examination (sensitivity, power, reflexes, nerve extension pain) • Digital rectal examination (sphincter tonus) Red flag symptoms: Fever, neurological impairment, tumor anamnesis!
S. Merseburger et al. 1007/978-3-642-54859-8_12, © Springer-Verlag Berlin Heidelberg 2014 57 58 R. Brunkhorst Cardiovascular symptoms Gastrointestinal symptoms 1000 Peripheral edema Pulmonary edema Hypertension Pericarditis 800 Nausea Vomiting Stomatitis Gastritis Colitis 600 Anemia Hypocalcemia Hyperhosphatemia Metabolic acidosis 400 General weakness 120 60 30 15 Glomerular filtration rate (mI/min) Creatinine (umoI/I) Neurological symptoms Polyneuropathy Somnolence Coma Seizures 200 0 Fig. 1 Physical Examination In most cases of uremia, blood pressure is elevated.
Urology at a Glance by Axel S. Merseburger, Markus A. Kuczyk, Judd W. Moul
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