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Dysuria in Children

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81. Urinary incontinence in women

of the type of incontinence can help to elucidate the underlying aetiology and help to guide management. History and exam presence of risk factors involuntary urine leakage on effort, exertion, sneezing, or coughing involuntary urine leakage accompanied by or immediately preceded by urgency frequency of urination suggestive bladder diary vaginal bulge/pressure urogenital atrophy history of cognitive impairment back injury dysuria abnormal mental state pooling of urine in vaginal tract urethral discharge (...) or tenderness nocturia abnormal bulbocavernosus and wink reflexes weakened sphincter tone chronic heart failure diabetes mellitus excess fluid intake post-void dribbling haematuria history of recurrent urinary tract infections enlarged uterus faecal impaction loss of perineal sensation increasing age white ethnicity pregnancy obesity post-menopausal status functional impairment lower urinary tract symptoms long-term residence in a care facility dementia family history of incontinence childhood enuresis

2018 BMJ Best Practice

82. Overview of sexually transmitted infections

adults of any age, as well as children. Most people with hepatitis B are asymptomatic, although some will present with complications such as cirrhosis, hepatocellular carcinoma, or liver failure. People from endemic areas, injection drug users, and those with high-risk sexual behaviours are at an increased risk. Serologic markers are essential in making the diagnosis and evaluating disease activity, including differentiating between people with acute and chronic infection and chronic asymptomatic (...) intercourse, is a common complaint among women. It may result from various causes, including inflammatory/infectious, mucosal, and musculoskeletal conditions. Dysuria is a common condition but can be challenging to diagnose, as it is often present in conjunction with other lower urinary tract symptoms. Although urinary tract infection is the most common cause, any infectious or inflammatory condition affecting the genitourinary system may cause dysuria. Contributors Authors BMJ Publishing Group

2018 BMJ Best Practice

83. Canadian Urological Association guideline for the diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

Oxford system, which identifies level of evidence (LOE) and grade of recommendation (GOR). This complete version includes the full text of the guidelines (including the sections in the Executive summary). We limited our guideline recommendations to adults with NLUTD, although given the small body of literature for cer- tain populations (such as spina bifida), relevant pediatric literature was considered if appropriate. Our initial in-person CUAJ • June 2019 • Volume 13, Issue 6 E158 Kavanagh et al (...) dysfunction when evalu- ated with UDS. 27 Many patients with MS do not need spe- cialized investigation of their bladder during the initial years after diagnosis. With progression of MS, the risk of blad- der dysfunction increases as mobility and functional status decreases, and urological assessment may become more relevant. 28,29 When children with SB transition to adulthood, they should be followed by an adult urologist as soon as it is practical to transition them. 30 Ideally, transition to an adult

2019 Canadian Urological Association

84. Recurrent uncomplicated urinary tract infections in women: AUA/CUA/SUFU

. The definitions used in this guideline can be found in Table 1. Table 1: Guideline DefinitionsThe index patient for this guideline is an otherwise healthy adult female with an uncomplicated recurrent urinary tract infection Term Definition Acute bacterial cystitis A culture-proven infection of the urinary tract with a bacterial pathogen associated with acute-onset symptoms such as dysuria in conjunction with variable degrees of increased urinary urgency and frequency, hematuria, and new or worsening (...) bacteremia, such as fever and flank pain. 4 This guideline also excludes those with neurological disease or illness relevant to the lower urinary tract, including peripheral neuropathy, diabetes, and spinal cord injury. Further, this guideline does not discuss prevention of UTI in operative or procedural settings. Symptoms In UTI, acute-onset symptoms attributable to the urinary tract typically include dysuria in conjunction with variable degrees of increased urinary urgency and frequency, hematuria

2019 Canadian Urological Association

85. Public health guidance on active case finding of communicable diseases in prison settings

problems Practice-based guideline A guideline that reflects expert opinion or information derived from good clinical practice; some literature references (not systematic) may be included Prison All institutions where a state holds adults deprived of their liberty (e.g. prison or jail), either sentenced or on pre-trail detention (remand), excluding migrant centres, and police detention rooms, and other facilities such as juvenile prisons or secure training centres for children and young people. Provider (...) by the Chlamydia trachomatis bacterium and is often asymptomatic. It can result in complications in women, most frequently pelvic inflammatory disease (PID) and salpingitis, conditions that can lead to infertility and extra-uterine pregnancies. [10,35]. Gonorrhoea is caused by infection with the Gram-negative bacterium Neisseria gonorrhoeae. Symptoms reflect localised inflammation of infected mucosal surfaces in the genital tract, resulting in urethral discharge and dysuria in men and altered vaginal discharge

2018 European Centre for Disease Prevention and Control - Public Health Guidance

86. Urinary tract infection

and children: Diagnosis and management | Canadian Paediatric Society Protecting and promoting the health and well-being of children and youth CPS Member Login | Who We Are What We Do Get Involved Education/CPD Publications Careers > Share POSITION STATEMENT Urinary tract (...) in the management of urinary tract infections (UTIs) in children. The present statement focuses on the diagnosis and management of infants and children >2 months of age with an acute UTI and no known underlying urinary tract (...) antibiotics for children with recurrent urinary tract infections Posted: Feb 6 2015 The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) Joan L Robinson, Jane C Finlay, Mia Eileen Lang, Robert Bortolussi; Canadian Paediatric Society , , Paediatr Child Health 2015;20(1):45-47. Abstract Prophylactic antibiotics for urinary tract infections 2015 14. A systematic

2018 Trip Latest and Greatest

87. Sepsis

potentially eligible studies. The studies included a large polyclonal IVIG trial 2013 4. Management of term infants at increased risk for early onset bacterial sepsis Management of term infants at increased risk for early onset bacterial sepsis | Position statements and practice points | Management of term infants at increased risk for early onset bacterial sepsis | Canadian Paediatric Society Protecting and promoting the health and well-being of children and youth CPS Member Login | Who We Are What We Do (...) Get Involved Education/CPD Publications Careers > Share POSITION STATEMENT (...) Management of term infants at increased risk for early onset bacterial sepsis Posted: Jan 13 2017 The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) Ann L Jefferies, Canadian Paediatric Society , Abstract Early-onset neonatal bacterial sepsis (EOS) is sepsis occurring

2018 Trip Latest and Greatest

88. Menopause

and shorter. As secretions lessen, the pH levels change and the vagina becomes more susceptible to infection (atrophic vaginitis). Many women will suffer from one of the following symptoms: • - vaginal dryness - dyspareunia - vaginitis • - urinary problems - frequency - urgency - dysuria. Generalised connective tissue atrophy Oestrogens help maintain the epidermis, so changes in the skin, nails and hair are common when oestrogen levels fall. Women may find their skin becomes dry, inelastic and is easily (...) mean that bone fractures much more easily. Treating the affects of osteoporosis has huge financial implications for the NHS, and in personal and emotional terms for the individual and for carers. Bone is a living tissue that is constantly remodelling itself. Old bone is broken down by osteoclasts and rebuilt by osteoblasts. In childhood osteoblasts work faster, enabling the skeleton to increase in density and strength, with bone mass reaching a peak by the late 20s. The balance between breakdown

2018 Royal College of Nursing

89. Sexually Transmitted Infections in primary care consultations: development of an online tool to guide healthcare practitioners

anatomical site? Which diagnostic tests are to be performed for a pre-defined risk group? Population Included: Symptomatic or asymptomatic sexually active men and women (pregnant and non-pregnant), including adolescents Excluded: Children aged 2/multiple partners past 12/6 months (including swingers) 3, 8, 18, 19 • Inconsistent condom use 3, 17 • STI 1 year), including HIV positive patients: • First choice: BPG 2.4 million units IM weekly for 3 consecutive weeks (day 1, day 8 and day 15) • Second choice

2019 Belgian Health Care Knowledge Centre

90. Diagnosis and management of gonorrhoea and syphilis

by Sciensano. Next to this sentinel laboratory network, other surveillance networks for human infectious diseases, complementing each other, are available in Belgium, i.e. the notification of infectious diseases organised by the Flemish Community, Brussels Capital and the French-speaking Community, the network of paediatrics collecting mainly data on vaccine preventable infectious diseases in children since 2002, the network for surveillance of sexually transmitted diseases since 2000 (Sciensano (...) and epidemiological trends 1.1.1.1 Gonorrhoea Gonorrhoea is caused by the Gram-negative bacterium Neisseria gonorrhoeae (N. gonorrhoea) with infection of the columnar epithelium of the urethra, endocervix, rectum, pharynx and conjunctivae. 2 Symptoms and physical signs of gonorrhoea constitute of a localised in?ammation of the infected mucosal surfaces. In men, the presentation is mostly of acute urethritis with symptoms of mucopurulent urethral discharge (80%) and dysuria (50%), usually starting within 2–8 days

2019 Belgian Health Care Knowledge Centre

91. Complications after bladder augmentation or substitution in children: a prospective study of 86 patients. Full Text available with Trip Pro

Complications after bladder augmentation or substitution in children: a prospective study of 86 patients. • To evaluate complications after urinary bladder augmentation or substitution in a prospective study in children.• Data of 86 patients who underwent urinary bladder augmentation (80 patients) or substitution (6 patients) between 1988 and 2008 at the authors' institute were analysed. • Ileocystoplasty occurred in 32, colocystoplasty in 30 and gastrocystoplasty in 18. Urinary bladder (...) , there were a total of 105 complications (39 bladder stones, 16 stoma complications, 11 bowel obstructions, 5 reservoir perforations, 7 VUR recurrences, 1 ureteral obstruction, 4 vesico-urethral fistulae, 4 orchido-epididymitis, 4 haematuria-dysuria syndrome, 3 decreased bladder capacity/compliance, 3 pre-malignant histological changes, 1 small bowel bacterial overgrowth and 7 miscellaneous). • In 25 patients, more than one complication occurred and required 91 subsequent surgical interventions. Patients

2011 BJU international

92. Meatotomy using local anesthesia and sedation or general anesthesia with or without penile block in children: a prospective randomized study. (Abstract)

, university affiliated, pediatric medical center in 2008. Children were randomly allocated to undergo surgery with sedation and local anesthesia, or general anesthesia with or without penile block. All procedures were performed with the same method by the same surgeon. For local anesthesia EMLA 5% cream (lidocaine 2.5% and prilocaine 2.5%) covered with an occlusive dressing was applied 1 hour preoperatively, and midazolam (in patients younger than 5 years) or nitrous oxide (older than 5 years) was used (...) Meatotomy using local anesthesia and sedation or general anesthesia with or without penile block in children: a prospective randomized study. Meatotomy is a simple, common procedure for the treatment of meatal stenosis. We compared the outcomes of meatotomy performed using local anesthesia and sedation, and general anesthesia with and without penile block.A prospective comparative design was used. Participants included 76 boys 1.5 to 10 years old treated for meatal stenosis at a tertiary

2011 The Journal of urology Controlled trial quality: uncertain

93. Unusual Presentation of a Mullerian Remnant in an Infant with Recurrent Epididymo-orchitis. (Abstract)

Unusual Presentation of a Mullerian Remnant in an Infant with Recurrent Epididymo-orchitis. Mullerian duct remnants result from incomplete regression, a defect that occurs during sexual differentiation. Ninety percent of patients with mullerian remnants also have an associated disorder of sexual differentiation such as hypospadias. Presenting signs and symptoms are recurrent bladder infection, perineal pain, dysuria, or infertility. The purpose of this case report is to recount an unusual

2011 Urology

94. British Association for Sexual Health and HIV national guideline for the management of vulvovaginal candidiasis

the various international terminology used for VVC but resulted in a large number of citations (1412). • The article titles and abstracts of all 1412 citations were reviewed for relevance. Citations clearly from animal studies, non-patient based studies, single case reports, studies in children, and those on subjects not relevant to the diagnosis or management of VVC were excluded on first review. • The titles and abstracts of the remaining citations (800) were reviewed by at least two members

2019 British Association for Sexual Health and HIV

95. Recurrent Uncomplicated Urinary Tract Infections in Women

imaging, cystoscopy, or other further investigation for bacterial reservoirs. The definitions used in this guideline can be found in Table 1. Copyright © 2019 American Urological Association Education and Research, Inc.® Recurrent Uncomplicated Urinary Tract Infection TABLE 1: Guideline Definitions Term Definition Acute bacterial cystitis A culture-proven infection of the urinary tract with a bacterial pathogen associated with acute-onset symptoms such as dysuria in conjunction with variable degrees (...) prevention of UTI in operative or procedural settings. Symptoms In UTI, acute-onset symptoms attributable to the urinary tract typically include dysuria in conjunction with variable degrees of increased urinary urgency and frequency, hematuria, and new or worsening incontinence. Dysuria is central in the diagnosis of UTI; other symptoms of frequency, urgency, suprapubic pain, and hematuria are variably present. Acute-onset dysuria is a highly specific symptom, with more than 90% accuracy for UTI in young

2019 American Urological Association

99. The Irish Maternity Early Warning System (IMEWS) National Clinical Guideline

National Perinatal Epidemiology Centre NSP National Service Plan NWIHP National Women and Infants Health Programme ONMSD Office of the Nursing and Midwifery Services Director PEWS Paediatric Early Warning System QC-M Quality Care-Metrics QI Quality Improvement SAFE Situation Awareness for Everyone SMM Severe Maternal Morbidity TYC Test Your Care WHO World Health Organization9 | A National Clinical Guideline | Irish Maternity Early Warning System V2 1 National Clinical Guideline recommendations 1.1 (...) and the National Women and Infants Health Programme. Membership nominations were sought from a variety of clinical and non-clinical backgrounds to represent stakeholders within the maternity services. GDG members included those involved in obstetrics, midwifery, anaesthetics, neonatology, clinical risk, quality assurance, Clinical Indemnity Scheme, education, the National Women and Infants Programme and two representatives of maternity service users (Table 1). Table 1: Members of the Childbirth GDG Name Job

2019 HIQA Guidelines

100. Diagnosis and Management of Hymenal Variants

of thin hymenaltissuewithadarkorbluishhuecausedbythehematocolposbehindit.Otherfindingsthatmaybepresent include an abdominal mass, urinary retention, dysuria, constipation, and dyschezia. On evaluation, the goal is to differentiateanimperforatehymenfromotherobstructinganatomicetiologies,suchaslabialadhesions,urogenital sinus, transverse vaginal septum, or distal vaginal atresia. Surgical intervention is necessary only in symptomatic prepubertal patients. After confirmation of the diagnosis, surgical (...) ,dysuria,constipation,anddyschezia. Microperforateor Septate Hymen It is important to note that a microperforate hymen or septate hymen may not present as an obstruction. Often there will be menstrual efflux; however, depending on the degree of perforation or efflux, there may be retained menstrual blood with malodorous discharge, particularly withamicroperforatehymen.Mostoften,thepatientwith a microperforate or septate hymen will present when she has difficulty placing tampons, has a retained tampon

2019 American College of Obstetricians and Gynecologists

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