Page 282 - 2021 IDMT Digital
P. 282
DYSURIA
Introduction:
• 3DLQIXO XULQDWLRQ LV D FRPPRQ UHDVRQ IRU SDWLHQWV WR VHHN XUJHQW PHGLFDO DWWHQWLRQ
• &\VWLWLV ZLOO EH GLDJQRVHG LQ RI IHPDOH FDVHV
• ,Q ROGHU PHQ G\VXULD PD\ EH D V\PSWRP RI SURVWDWLWLV
• ,Q \RXQJHU PHQ XUHWKULWLV DFFRXQWV IRU WKH PDMRULW\
o +LJKHU ULVN IRU 67,
• 7KH NH\ REMHFWLYH LQ HYDOXDWLRQ LV WR H[FOXGH VHULRXV XSSHU XULQDU\ WUDFW GLVHDVH
such as S\HORQHSKULWLV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQIXO RU EXUQLQJ ZLWK XULQDWLRQ
• )RFXVHG +LVWRU\
o &RQVLGHU DJH DQG VH[
o +DV WKHUH EHHQ D IHYHU
o 1HZ EDFN RU IODQN SDLQ
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o 9DJLQDO GLVFKDUJH RU SUHJQDQF\ SRVVLELOLW\
o ,QVWUXPHQWDWLRQ RI XUHWKUD RU EODGGHU
Objective:
• 3K\VLFDO ([DP
o )HYHU WDFK\FDUGLD RU K\SRWHQVLRQ VXJJHVW XURVHSVLV DQG SRVVLELOLW\ RI QHHG IRU
HYDFXDWLRQ
o )RFXVHG H[DP LQ ZRPHQ LI XQFRPSOLFDWHG OLPLWHG WR &9$ WHQGHUQHVV ORZHU
DEGRPHQ DQG SHOYLF H[DP LI WKH KLVWRU\ VXJJHVWV YXOYRYDJLQLWLV RU FHUYLFLWLV
o 5HQDO LPDJLQJ ZKHQ VHYHUH IODQN RU EDFN SDLQ LV SUHVHQW WKH SRVVLELOLW\ RI
FRPSOLFDWHG NLGQH\ LQIHFWLRQ RU RI K\GURQHSKURVLV
• 7RROV
o 8$/culture
o GC/Chlamydia
Assessment:
• $FXWH F\VWLWLV G\VXULD XUJHQF\ IUHTXHQF\
• $FXWH S\HORQHSKULWLV EDFN SDLQ DQG IHYHU
• 9DJLQLWLV YDJLQDO LWFKLQJ DQG GLVFKDUJH
• ,QWHUVWLWLDO F\VWLWLV SDLQ ZLWK EODGGHU ILOOLQJ UHOLHYHG E\ HPSW\LQJ
• 8UHWKULWLV FHUYLFLWLV SRVLWLYH KLVWRU\ ILQGLQJV RQ H[DP
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