Page 53 - Master Blueprint 2018 - 2019
P. 53

CLINICAL               6        PATIENT PRESENTATIONS RELATED TO THE
          PRESENTATION
                                          GENITOURINARY/RENAL SYSTEM AND BREASTS




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:

                                                                                      glomerulonephritis; obstruction; painful bladder syndrome/interstitial cystitis;
                                                                                      dysuria, pyuria, hematuria (glomerular, extraglomerular, nephritic/nephrotic),
                                                                                      bacteriuria (symptomatic or asymptomatic) • urination dysfunctions – frequency,
             6.1    ANURIA, OLIGURIA, POLYURIA, AND EDEMA
                                                                                      altered frequency, incontinence (stress, urge, overflow, neurogenic), retention,
             6.2    ENURESIS/INCONTINENCE, PROLAPSE AND PELVIC                        enuresis (nocturnal or diurnal), hesitancy, congenital outflow tract abnormalities
                 RELAXATION
             6.3    URINARY FREQUENCY/HESITANCY, DYSURIA, URINARY
                 RETENTION
                                                                                      CONSTITUTIONAL SIGNS AND SYMPTOMS
             6.4    HEMATURIA AND DISCOLORED URINE
                                                                                      fatigue  • fever  • generalized weakness  • involuntary weight loss  • malaise  •
             6.5    AMENORRHEA AND VAGINAL BLEEDING                                   night sweats  • pallor
             6.6    URETHRAL DISCHARGE
                                                                                      PHYSICAL EXAM FINDINGS
             6.7    PELVIC PAIN
                                                                                      cervical motion tenderness  • costovertebral angle tenderness  • pelvic organ
             6.8    VULVAR AND VAGINAL DISCHARGE, LESIONS, AND PAIN
                                                                                      prolapse and pelvic relaxation
             6.9    PENILE, SCROTAL, AND TESTICULAR LESIONS, MASSES,
                 PAIN, AND BLEEDING
                                                                                      LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
             6.10  PELVIC, PROSTATE, AND RENAL MASSES
                                                                                      abnormal FSH  • acid-base disorders (eg, metabolic acidosis with elevated or
             6.11  BREAST MASSES, DISCHARGE, AND PAIN                                 normal anion gaps, metabolic alkalosis)  • CA-125  • computed tomography
             6.12  PHYSICAL EXAM FINDINGS RELATED TO THE                              imaging  • cystinuria  • cystoscopy  • fluoroscopy  • hypercalciuria  •
                 GENITOURINARY/RENAL SYSTEM AND BREASTS
                                                                                      hyperoxaluria  • hyperprolactinemia  • hyperuricuria  • hypocitraturia  •
             6.13  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING                    increased LH  • increased serum estrogen  • increased serum β-HCG  •
                 RELATED TO THE GENITOURINARY/RENAL SYSTEM AND
                 BREASTS                                                              magnetic resonance imaging  • mammography  • microscopy  • nuclear
                                                                                      medicine imaging  • prostate-specific antigen  • proteinuria  • radiography  •
                                                                                      serum creatinine, blood urea nitrogen  • serum testosterone levels  • sonography
                                                                                      • struviteuria  • urinalysis dip stick and sediment microscopy  • urine culture and
                                                                                      sensitivity  • vaginal wet mount, KOH prep

        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 6    PAGE 52
   48   49   50   51   52   53   54   55   56   57   58