POM F3 FUNCTIONS OF KIDNEY • Conservation of water o ADH    ANTI-DIURETIC HORMONE Produced by posterior pituitary Acts on collecting ducts

o

Blood is in the lower urinary tract

PAST MEDICAL HISTORY • Past and Present Illness o o HPN (hypertension) DM (diabetes mellitus)

Ask medications o Anti-neoplastic drugs  o Causes hematuria

NOT SUPPOSED TO BE SEEN IN URINE: • • RBC (Casts) ALBUMIN o • • CASTS • Clumps of cells that takes the shape of the surrounding structures Concerned with oncotic pressure

Diuretics     Cause polyuria Given to treat HPN Hydrochlorothiazides Loop diuretics – furosimide

PUS CELLS (Casts) GLUCOSE

Sugar and salt are strong osmotic agents PERSONAL/SOCIAL HISTORY • DIET o Food rich in purines produce a lot of uric acid Food high in salt Food high in sugar  DM

HISTORY COMMON CHIEF COMPLAINT 1. 2. Dysuria Polyuria a. 3. 4. 5. 6. Amount of urine • o o

SEXUAL PRACTICES o Presence of STD

Urinary frequency Urgency Anuria Hematuria •

OCCUPATION o Presence of certain chemicals that may cause cancers Make the person hold their urine

HISTORY OF PRESENT ILLNESS • • • When do you feel it? Under what circumstances do you feel it? What kind of pain?

o

Infection is in the urethra if the pain is felt at the start of urination HEMATURIA MAY BE SEEN: • LATTER PART o • Blood is in the upper urinary tract -Rosette Go 092510 

INITIAL PART

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