Genitalia and urinary tract infection of male

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?????????

• Genitalia and urinary tract infection of male

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????(Classification)

• ???????
• the most common bacillusG-
• ????(60-80),?????,????,????
• G ???????,??????,???,????
• ???????
• tuberculosis,gonococcus

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??????(mechanism)

• ??????(infection factor)
• ?????????(Bacterial adhesin )
• ???????( squirm of urethral )
• ????????(resist power of host)
• PH
• Osmosis
• High concentration of urea
• organic acid
• immunoreaction(IgA,IgG)

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??????

• Reduce of immune power with human
• Obstruction of urinary tract
• Hospital-acquired infection factor

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??????(routes of infection)

• ?????(ascending route)
• ?????(hematogenous route)
• ????(lymphatic route)
• ??????(extend invade route)

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????( diagnosis)

• History (pain,frequency,urgency,dysuria)
• Urine collection
• suprapubic aspiration
• urethral catheterization
• segmented voided urine specimens
• Urinalysis 105,infectionlt104,pollution
• Urine culture

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????( diagnosis)

• Localization
• kideny,prestate and urethra
• Imaging techniques
• Uroflowmetry

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???????(acute cystitis)

• Incidence
• 25 to 30 of women between the ages of 20 and
  40
• Ascending route
• Nosogenetic bacteria

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???????(acute cystitis)

• Clinical presentation
• dysuria
• frequency
• urgency
• suprapubic or lower abdominal pain hematuria

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???????(acute cystitis)

• Diagnosis
• 1.History
• 2.Laboratory examitationurinary routine
• 3.Differential diagnosis
• vaginitis
• urethral infection

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???????(acute cystitis)

• Management
• Antimicrobial selection
• Intake with large volume water

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????????(chronic prostatitis)

• Classification
• acute bacterial prostatitis
• chronic bacterial prostatitis
• nonbacterial prostatitis
• prostatodynia

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????????(chronic prostatitis)

• Etiology and pathogenesis
• 1.ascending urethral infection or reflux of urine
  into proststic duct
• 2.gram-negative bacteria
• 3. NBP
• 4.prostatodynia

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????????(chronic prostatitis)

• Clinical presentation
• 1.Irritative symptoms
• 2.Pain (vesical,prostate,penile,testis)
• 3.Erectile dysfunction
• 4.strain

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????????(chronic prostatitis)

• Diagnosis
• 1.Clinical presentation
• 2.Rectal examination
• 3.Ultrsound
• 4.Examination of the expressed prostatic
  secretions(EPS) and bacteriologic culture

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????????(chronic prostatitis)

• Treatment
• 1.Antibiology treatment
• 2.a-receipt blockage
• 3.Prostatic expressate
• 4.Fine health habit

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?????(Tuberculosis of the kindey)

• Epidemiology
• age20-40 years ,male/female2/1
• Pathology
• Infected route

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?????(Tuberculosis of the kindey)

• Diagnosis
• 1.History
• 2.Clinical presents
• Increasing painless fequency of micturition
• hematuria
• renal pain and mass
• 3.Lab test (urine,blood,tuberculin test)
• 4.Radiography

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?????(Tuberculosis of the kindey)

• Management
• 1.Antituberculosis drugs
• early,unite,appropriate,rule,integrity
• 2.Sugery
• nephrectomy
• partial nephrectomy
• reconstructive surgery

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? ? ?

• Urinary lithiasis

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????

• 1. ????(Epidemiologic Aspects) 1-5
• Heredity
• Age and sex20-50 years ,malefemale3/1
• Geographytropical and subtropical
• Climatic and Seasonal Factors
• Water Intake intake low
• Medicinesteroid,vitamin, sulfanilamide
• Occupation

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????

• 2. ????
• ?????(CaC2O4.H2O, CaC2O4.H2O)
• ????? (Hydroxylapatite)
• ?????? (Uric acid,C5H4N4O3)
• ??? (Cystin,C6H12N2O4S2)
• ??? (Xanthin,C5H4N4O2)

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????

• 3.??(Pathophysiology of stone formation)
• ?????
• ?????
• ?????
• ???????
• ????
• ??
• ???????????

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?????(Kidney Stones)

• 1. ????(Clinical Presentation)
• pain
• hematuria
• 2. ??(Diagnosis)
• History
• Lab examination(urinary routine)
• Uroradiology (B-us,KUB,IVU,RP,CT)

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?????(Kidney Stones)

• 3. ??(Treatment)pathogeny and stone
• ?????(Medical Treatment)
• ????????
• (Extracorporeal shock wave lithotripsy ESWL)
• ?????(Operation)

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???????(Ureter Calculi)

• 1. ????(Clinical presentation)
• Pain
• hematuria
• 2. ??(Diagnosis)
• History
• Lab examination(hematuria)
• Uroradiology (B-us,KUB,IVU,RP,CT)

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???????

• 3. ??(Treatment)
• ????(Medical Treatment)
• ????????
• (Extracorporeal shock wave lithotripsy ESWL)
• ???????
• (Removal of large ureteral calculi with
  ureteroscopic)
• ????????(Ureterolithotomy)

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??????(Vesical Calculi)

• 1. ????(Clinical presentation)
• intermittent micturate
• painful voiding with terminal hematuria
• suprapubic pain
• 2. ??(Diagnosis)
• History
• Lab examination
• Uroradiology(B-us,KUB,IVU)
• Cystoscopy

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??????(Vesical Calculi)

• 3. ??(Treatment)
• ??????(Trans-urethra crush stone)
• ????????(Extracorporeal shock wave lithotripsy
  ESWL)
• ?????(operation)diametergt4cm

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