Cystitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with cystitis are usually well-appearing. Common physical examination findings of cystitis include [[fever]] and suprapubic tenderness. | Patients with cystitis are usually well-appearing. Common physical examination findings of cystitis include [[fever]] and suprapubic tenderness. A focused physical examination is helpful in confirming the suspicion of cystitis and in ruling out alternate pathology. | ||
==Physical Examination== | ==Physical Examination== | ||
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===General Appearance of the Patient=== | ===General Appearance of the Patient=== | ||
*Patients with cystitis are usually normal in appearance and not in distress<ref name="pmid22010614">{{cite journal| author=Colgan R, Williams M| title=Diagnosis and treatment of acute uncomplicated cystitis. | journal=Am Fam Physician | year= 2011 | volume= 84 | issue= 7 | pages= 771-6 | pmid=22010614 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22010614 }} </ref> | *Patients with cystitis are usually normal in appearance and not in distress.<ref name="pmid22010614">{{cite journal| author=Colgan R, Williams M| title=Diagnosis and treatment of acute uncomplicated cystitis. | journal=Am Fam Physician | year= 2011 | volume= 84 | issue= 7 | pages= 771-6 | pmid=22010614 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22010614 }} </ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Fever]] rarely present<ref name="pmid16716786">{{cite journal| author=Chang SL, Shortliffe LD| title=Pediatric urinary tract infections. | journal=Pediatr Clin North Am | year= 2006 | volume= 53 | issue= 3 | pages= 379-400, vi | pmid=16716786 | doi=10.1016/j.pcl.2006.02.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16716786 }} </ref><ref name="pmid18055650">{{cite journal| author=Azzarone G, Liewehr S, O'Connor K| title=Cystitis. | journal=Pediatr Rev | year= 2007 | volume= 28 | issue= 12 | pages= 474-6 | pmid=18055650 | doi=10.1542/pir.28-12-474 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18055650 }} </ref> | |||
===Genitourinary=== | ===Genitourinary=== | ||
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Revision as of 14:19, 14 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2], Usama Talib, BSc, MD [3]
Overview
Patients with cystitis are usually well-appearing. Common physical examination findings of cystitis include fever and suprapubic tenderness. A focused physical examination is helpful in confirming the suspicion of cystitis and in ruling out alternate pathology.
Physical Examination
The following features can be found during a physical examination of a patient with cystitis. The patient must be in supine position to facilitate a proper examination.[1]
General Appearance of the Patient
- Patients with cystitis are usually normal in appearance and not in distress.[2]
Vital Signs
Genitourinary
The following findings may be found on genitourinary examination of a patient with cystitis.[2][5][6].
- Suprapubic tenderness
- Urethral discharge(if the cause is urethritis)
- Inguinal lymphadenopathy
- Examination of the scrotum and the pubic area must be done
Abdominal
The following findings can be found on abdominal examination of cystitis.[2]
- Abdominal tenderness on palpation
Cardiovascular
Neurological
References
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013.
- ↑ 2.0 2.1 2.2 Colgan R, Williams M (2011). "Diagnosis and treatment of acute uncomplicated cystitis". Am Fam Physician. 84 (7): 771–6. PMID 22010614.
- ↑ Chang SL, Shortliffe LD (2006). "Pediatric urinary tract infections". Pediatr Clin North Am. 53 (3): 379–400, vi. doi:10.1016/j.pcl.2006.02.011. PMID 16716786.
- ↑ Azzarone G, Liewehr S, O'Connor K (2007). "Cystitis". Pediatr Rev. 28 (12): 474–6. doi:10.1542/pir.28-12-474. PMID 18055650.
- ↑ Brill JR (2010). "Diagnosis and treatment of urethritis in men". Am Fam Physician. 81 (7): 873–8. PMID 20353145.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013.