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Chapter 6
Urinary System
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Urinary System Function

removes waste material from the body,
regulates fluid volume, and maintains
electrolyte concentration in the body fluid.
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The Urinary System
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Male and Female Urinary System
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6-4
Male Urinary Bladder
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Three of Four Suffixes
Beginning with -rrh
Suffix
-rrhea
Meaning
flow, discharge
Chapter
4
-rrhagia
rapid flow of blood
5
-rrhaphy
suturing, repairing
6
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6-6
Three Word Parts that
Incorporate the Root “tom”
Word Part
-tome (S)
-tomy (S)
tom/o (CV)
Meaning
instrument used
to cut
cut into or incision
cut, section
Chapter
4
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5
6
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Urinary Tract Infection
Cystitis
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6-8
Clicker Question
Which term means stones in the kidney?
renal hypertension
b) hydronephrosis
c) renal calculi
d) nephromegaly
a)
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6-9
Clicker Question
(renal pelvis) / cv / (stone) / cv / (incision)
The correct term to label the diagram is?
a)pyelolithostomy
b)pyelolithotomy

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6-10
Clicker Question
Which of the following may be used to
withdraw fluids:
ESWL
b) VCUG
c) cath
d) SC
a)
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6-11
Discharge Summary
Bruno Oliver is a 32-year-old white male, appearing his stated age, who was
admitted to the hospital after presenting himself to the emergency department on
09/20/xx in acute distress. He complained of intermittent pain in the right posterior
lumbar area, radiating to the right flank. He has a family history of nephrolithiasis and
has been treated for this condition two other times in the past ten years.
This patient was admitted to the Urology Unit and was administered intravenous
morphine sulfate for pain control. VITAL SIGNS: Low-grade temperature of 99.4.
Initial blood pressure was 146/92.
The white blood count, hemoglobin, and hematocrit normal. The urinalysis showed
microscopic hematuria.
A KUB revealed calculi in the region of the right renal pelvis. A cystoscopy with a
right retrograde urogram confirmed the presence of the three stones in the right
kidney. Minimal ureteral obstruction was present.
A percutaneous nephropyelolithotomy was completed with no complications. A
ureteral stent was inserted as was an indwelling Foley catheter. Drainage from the
right kidney was pale yellow in 48 hours. The Foley catheter was removed three
days postoperatively.
At discharge, the patient is voiding without difficulty. The stones were sent to the
laboratory for analysis. The report indicated that they were calcium oxalate.
The patient is to follow up with his urologist in a week to have his ureteral stent
removed.
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6-12
Chapter 7
Male Reproductive System
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Male Reproductive
System Function

produce, sustain, and transport sperm, the
male reproductive cell, and to secrete the
hormone testosterone.
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Male Reproductive Organs
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Spermatozoon or sperm
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Clicker Question
Ochid/o, orchi/o, orch/o and test/o are all
combining forms for testicle.
T
b) F
a)
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7-17
Benign Prostatic Hyperplasia
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7-18
Varicocele
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7-19
Clicker Question
Which of the following means discharge from
the prostate gland?
phimosis
b) hydrocele
c) prostatorrhea
d) prostatitis
a)
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7-20
Vasectomy
1.
2.
3.
4.
Incision is made
into the covering of
the vas.
Vas is exposed.
Segment of vas is
excised.
Vas is replaced and
skin is sutured.
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7-21
Clicker Question
Which of the following is the surgical removal of
the forskin of the penis?
vasectomy
b) vesiculectomy
c) circumcision
d) hydrocelectomy
a)
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7-22
Clicker Question
Which of the following is an STD?
orgasm
b) digital rectal exam
c) coitus
d) chlamydia
a)
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Interact with Medical Records
CHIEF COMPLAINT: Severe lower abdominal pain and the inability to void for the
past 12 hours.
PRESENT ILLNESS: Andrew Nguyen is a 75-year-old Asian-American man who
came into the emergency department at 3:00 am stating that he was in great pain
and could not urinate. He had not been seen by a physician for several years but
claimed to be in good health except for “a little high blood pressure.” The patient
reports urinary frequency, nocturia x2, hesitancy, intermittency, and diminished
force and caliber of the urinary stream. He also has postvoid dribbling and the
sensation of not having completely emptied the bladder. Earlier today, he had
hematuria at the end of urination.
MEDICATION ALLERGIES: None
CURRENT MEDICATIONS: Benadryl 25 mg. at bedtime.
PHYSICAL EXAM: Temperature 98.6ºF. Blood pressure 140/90. Pulse 98.
Respirations 24. Palpation of the abdomen shows a suprapubic mass approximately
three fingerbreadths below the umbilicus, dull to percussion and slightly tender.
IMPRESSION: Urinary bladder distention caused by urinary outlet obstruction,
probably from benign prostatic hyperplasia.
PLAN: Indwelling Foley catheter for relief of urinary obstruction. Urology consult.
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