上海交通大学：《诊断学》课程PPT教学课件（英语版）Chapter 33 Definition

FREQUENT MICTURITION, URGENT MICTURITION AND DYSURIA Xiaoqi Xu Renii hospital Shanghai Second Medical University

FREQUENT MICTURITION, URGENT MICTURITION AND DYSURIA Xiaoqi Xu Renji Hospital Shanghai Second Medical University

CONTENT ◆ Definition Etiology and clinical appearance Accompanied symptoms Approach to the patient

CONTENT  Definition  Etiology and clinical appearance  Accompanied symptoms  Approach to the patient

Definition o Frequent micturition. voiding at a frequent intervals, due to a sense of bladder fullness Normal: 3-5 times in the day time 0-1 time in the night 200-400ml each time

Definition  Frequent micturition: voiding at a frequent intervals, due to a sense of bladder fullness Normal: 3-5 times in the day time 0-1 time in the night 200-400ml each time

Definition ◆ Urgent micturition: an exaggerated sense of needing to urinate due to an irritable or inflamed bladder ◆ Dysuria: pain or a burring sensation during micturition irritation sign ofbladder

Definition  Urgent micturition: an exaggerated sense of needing to urinate due to an irritable or inflamed bladder  Dysuria: pain or a burring sensation during micturition irritation sign of bladder

ETIOLOGY AND CLINICAL APPEARANCE

ETIOLOGY AND CLINICAL APPEARANCE

Frequent micturition A. micturition increased but the volume each time is normal ◆ diabetes mellitus polyuria period of acute renal failure ◆ diabetes insipidus

Frequent micturition A.micturition increased but the volume each time is normal  diabetes mellitus.  polyuria period of acute renal failure  diabetes insipidus

e Frequent micturition B. micturition increased and the volume each time is decreased bladder or urethra irritation bladder, post urethral inflammation bladder tuberculosis or stone.(esp TB, frequent micturition can last for long time)

Frequent micturition B.micturition increased and the volume each time is decreased.  bladder or urethra irritation: bladder, post urethral inflammation bladder tuberculosis or stone.(esp TB, frequent micturition can last for long time)

Frequent micturition o diminished capacity of bladder neoplasm contracture of the bladder(tB) pregnant uterus hysteromyoma press on the bladder hysteroptosis

Frequent micturition  diminished capacity of bladder: neoplasm contracture of the bladder(TB) pregnant uterus hysteromyoma press on the bladder hysteroptosis

Frequent micturition o obstruction of the lower urinary tract prostatic hyperplasia often seen in man after age 40 accompanied by force of the urinary system, hesitancy in initiating voiding, postvoiding dribbling and the sensation of incomplete emptying

Frequent micturition  obstruction of the lower urinary tract: prostatic hyperplasia often seen in man after age 40 accompanied by force of the urinary system, hesitancy in initiating voiding, postvoiding dribbling and the sensation of incomplete emptying

O Frequent micturition ◆ neurogenic bladder: history of neurologic disease ◆ psychogenIc cause nervous, worry, dread

Frequent micturition  neurogenic bladder: history of neurologic disease  psychogenic cause: nervous, worry, dread