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Dysuria in Children

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161. Bladder and Other Urothelial Cancers Screening (PDQ®): Health Professional Version

Central citations Links to PubMed Similar articles in PubMed [PDQ Cancer Information Summari...] Review Bladder Cancer Treatment (PDQ®): Health Professional Version PDQ Adult Treatment Editorial Board. PDQ Cancer Information Summaries. 2002 [PDQ Cancer Information Summari...] Review Childhood Bladder Cancer Treatment (PDQ®): Health Professional Version PDQ Pediatric Treatment Editorial Board. PDQ Cancer Information Summaries. 2002 [PDQ Cancer Information Summari...] Review Neuroblastoma Screening (PDQ (...) range from 13% to 34.5%.[ - ] Other presenting symptoms include dysuria, urinary frequency or urgency, and less commonly, flank pain secondary to obstruction, and pain from pelvic invasion or bone metastases. Diagnosis and staging usually begin with cystoscopy. Full evaluation of the upper and lower urinary tract is required.[ ] Histopathology More than 90% of bladder cancers diagnosed in the United States are pure TCCs or TCCs mixed with other histologies, primarily SCC, adenocarcinoma, or both

2018 PDQ - NCI's Comprehensive Cancer Database

162. Chronic prostatitis and chronic pelvic pain syndrome

, inguinal or rectal regions. 17,22 In addition, they may report dysuria, or pain during or after ejaculation. 17 Findings from a retrospective analysis of clinical records (n=1,563) indicate that the most prevalent localisation for pain is the perineal region (63% of patients), followed by the testicular, pubic and penile areas. 10 Tenderness in the abdominal/pelvic region is also reported by patients with CP/CPPS, with the most common sites including the prostate and pelvic floor muscles. 23,24 (...) symptoms experienced by CBP and CP/CPPS patients. 25-27 Neuropathic pain is also a feature of CP/CPPS and is described in more detail in Box 1. LUTS are also a common clinical presentation, 4,22,28 with cohort studies reporting at least one such symptom in 39– 68% of patients. 4,29 LUTS include voiding symptoms (for example, weak stream, straining and hesitancy) or storage symptoms (for example, urgency with or without urgency incontinence, increased urinary frequency, nocturia and dysuria). 17,30

2015 Prostate Cancer UK

163. Dietary interventions for preventing complications in idiopathic hypercalciuria. (Abstract)

life stages; people with the condition are prone to developing oxalate and calcium phosphate kidney stones. In some cases, crystallised calcium can be deposited in the renal interstitium, causing increased calcium levels in the kidneys. In children, idiopathic hypercalciuria can cause a range of comorbidities including recurrent macroscopic or microscopic haematuria, frequency dysuria syndrome, urinary tract infections and abdominal and lumbar pain. Various dietary interventions have been described (...) that aim to decrease urinary calcium levels or urinary crystallisation.Our objectives were to assess the efficacy, effectiveness and safety of dietary interventions for preventing complications in idiopathic hypercalciuria (urolithiasis and osteopenia) in adults and children, and to assess the benefits of dietary interventions in decreasing urological symptomatology in children with idiopathic hypercalciuria.We searched the Cochrane Renal Group's Specialised Register (23 April 2013) through contact

2014 Cochrane

164. Chilblains

minutes of cold exposure lasting up to 1 hour. Frostbite Superficial frostbite (skin and subcutis) presents with erythema and initial pain followed by a sense of warmth — affected skin becomes waxy and white. Deep frostbite (extends to subcutaneous tissues and may involve nerves, major vessels, muscle and bone) can result in joint immobility and paralysis. Cold panniculitis Panniculitis (inflammation of the subcutaneous fat) caused by cold exposure. Infants are particularly susceptible to cold (...) in children, pregnant or breastfeeding women. If no underlying cause can be identified and there are no contraindications, consider prescribing modified-release nifedipine 20-60mg daily (off-label indication). Titrate slowly up to a maximum dose of 60 mg daily depending on response and tolerability. Monitor the person's blood pressure as nifedipine may be associated with hypotension. Discontinue treatment if not tolerated or response is inadequate. Continue treatment until the lesions have healed

2018 NICE Clinical Knowledge Summaries

165. Balanitis

on expert opinion in the 2013 European guideline for the management of balanoposthitis [ ], expert opinion in the British Association of Paediatric Urologists (BAPU) publication Management of foreskin conditions [ ], and expert opinion in a review article on benign male genital skin conditions [ ]. Assessment How should I assess suspected balanitis? Assess for clinical features which may suggest specific of balanitis. Ask about: and their onset and duration, including dysuria, pain, itch, bleeding (...) Transmitted Infections in Primary Care [ ]. Management Management : covers the management of suspected or confirmed balanitis in boys up to 16 years of age in primary care. : covers the management of suspected or confirmed balanitis in young men and adults 16 years of age and older in primary care. Scenario: Balanitis - children Scenario: Balanitis - children From age 1 month to 16 years (Male). Management Management If a child has : Advise the child or parents/carers to clean the penis daily

2018 NICE Clinical Knowledge Summaries

166. Urinary tract infection (lower) - men

causes of urine outflow obstruction (for example, urinary tract stones, urethral stricture). Catheterisation — UTI is the most common hospital acquired infection, and the majority of cases result from indwelling catheters. Previous urinary tract surgery. Immunocompromised state. Complications may include: Renal function impairment. Prostatitis. Pyelonephritis. Sepsis. Urinary stones. A lower UTI should be suspected if the man has: Dysuria, frequency, urgency, nocturia, and suprapubic pain. Suprapubic (...) urinary tract infection (UTI) if a man has: Symptoms of a UTI — this may include: Dysuria (pain or discomfort on passing urine). Frequency. Urgency (the desire to pass urine immediately). Nocturia (having to urinate during the night more frequently than usual). Suprapubic pain. Signs of a UTI — this may include: Suprapubic tenderness. Odorous urine. Cloudy urine. Haematuria. In men who are frail and elderly, and/or catheterized, and/or in institutional care, do not rely on classical symptoms or signs

2018 NICE Clinical Knowledge Summaries

167. Bacterial vaginosis

of developing BV. The use of douches, deodorant, and vaginal washes; menstruation; and presence of semen in the vagina. Copper intrauterine device. Smoking. Factors that reduce the risk of developing BV include: The use of hormonal contraception. Consistent condom use. Circumcised partner. BV is the most common cause of abnormal vaginal discharge in women of child-bearing age, but may also be encountered in perimenopausal women. Women with BV are at increased risk of acquiring STIs, including HIV. BV (...) of child-bearing age, but may also be encountered in perimenopausal women . Reported prevalence rates include 5% in a group of asymptomatic college students, 12% in pregnant women attending an antenatal clinic in the UK, and 30% in women undergoing termination of pregnancy [ ]. It is more prevalent in Black women (45–55%) than in Caucasian women (5–15%) [ ]. Women who have sex with women are at increased risk for BV because they share similar lactobacillary types and are more likely to have concordant

2018 NICE Clinical Knowledge Summaries

168. Trichomoniasis

pain, dysuria, and dyspareunia. Of men with trichomoniasis, 15–50% are asymptomatic and usually present as sexual partners of infected women. The commonest symptoms are urethral discharge and/or dysuria. Other clinical features include balanitis, urethral irritation, and increased urinary frequency. The diagnosis of trichomoniasis should ideally be confirmed by a sexual health specialist. If referral is declined or not possible, the person can be tested in primary care, but results may (...) . If this treatment is contraindicated, not tolerated, or declined, seek specialist advice. For asymptomatic pregnant women, seek specialist advice. For people with HIV, metronidazole 500 mg twice a day for 7 days is recommended. For a child or young person with a suspected or diagnosed STI have a low threshold for discussing with a sexual health specialist or paediatrician, and follow local child safeguarding procedures. Treat current partner(s) and any partner from within the four-week period prior

2018 NICE Clinical Knowledge Summaries

169. Clinical Practice Guidelines on Prevention, Diagnosis and Management of Tuberculosis

, and well defined. 38 5.1.4 Chest radiographic screening in children Refer to 10.2 Chest radiographic screening in children 69-74 5.1.5 Chest radiographic screening in pregnancy 75 With the very low foetal dose of radiation associated with a chest radiograph, the associated risks of childhood cancer is very low ( 59 years of age 15-20 mg/kg max 1g daily50 7.2 Initiation of treatment GPP Patients with chest radiographic findings that suggest active disease may be commenced on tuberculosis treatment even (...) laboratory diagnosis 41 7 Treatment of tuberculosis 48 8 Public health screening and infection control 70 9 Tuberculosis contact investigations and screening 78 10 Tuberculosis in children - specific considerations 85 11 Cost-effectiveness issues 89 12 Clinical quality improvement 90 Appendix 1 Recommendations for sputum collection 91 Annex 1 MD 532 Notification of Tuberculosis 93 Annex 2 MD 117 Treatment Progress Report 95 References 97 Self-assessment (MCQs) 112 Workgroup members 114 ContentsD Foreword

2016 Ministry of Health, Singapore

170. Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis

toddlers and preschool-age children), acute appendicitis is often diagnosed after perforation has occurred. 42-44 Children have a thinner appendiceal wall and less developed omentum, and thus may not readily wall off a perforation. In addition, many common childhood illnesses have symptoms similar to those of early acute appendicitis. Young children may also have difficulty communicating about their discomfort or describing their symptoms. 11 In addition, the use of modalities that involve ionizing (...) , Canada Tyler Hughes, M.D. McPherson Hospital McPherson, KS Douglas Katz, M.D., FACR Vice Chairman of Research and Education Winthrop Radiology Associates Winthrop-University Hospital, Department of Radiology Director of Body CT, Winthrop-University Hospital Mineola, NY Anupam Kharbanda, M.D., M.Sc. Director of Research, Emergency Services Associate PEM Fellowship Director Department of Pediatric Emergency Medicine Children’s Hospitals and Clinics of Minnesota Minneapolis, MN Susan Promes, M.D

2016 Effective Health Care Program (AHRQ)

171. Male Urethral Stricture

statements of Strong, Moderate, or Conditional Recommendation based on risks and benefits were developed. Additional information is provided as Clinical Principles and Expert Opinions when insufficient evidence existed. Guideline Statements Diagnosis/Initial Management 1. Clinicians should include urethral stricture in the differential diagnosis of men who present with decreased urinary stream, incomplete emptying, dysuria, urinary tract infection (UTI), and after rising post void residual. (Moderate (...) tend to be located in the bulbar and posterior urethra. Preoperative Assessment Presentation Patients with urethral stricture most commonly present with decreased urinary stream and incomplete bladder emptying but may also demonstrate UTI, epididymitis, rising post-void residual urine volume or decreased force of ejaculation. Additionally, patients may present with urinary spraying or dysuria. 10 Patient Reported Outcomes Measures Patient reported measures (PRMs) help elucidate the presence

2016 American Urological Association

172. Diagnosis, Evaluation and Follow-up of Asymptomatic Microhematuria (AMH) in Adults

2011. Data from studies published after the literature search cut-off will be incorporated into the next version of this guideline. Preclinical studies (e.g., animal models), pediatric studies, commentary, and editorials were excluded. Review article references were checked to ensure inclusion of all possibly relevant studies. Multiple reports on the same patient group were carefully examined to ensure inclusion of only non-redundant information. The review yielded an evidence base of 192 articles

2016 American Urological Association

173. Surgical Management of Stones: AUA/Endourology Society Guideline

Managers' Network (PMN) Patient Safety and Quality of Care Accreditations and Reporting Patient Education Surgical Management of Stones: AUA/Endourology Society Guideline (2016) AUA/Endourological Society Guideline: Published 2016 The purpose of this clinical guideline is to provide a clinical framework for the surgical management of patients with kidney and/or ureteral stones. Index patients discussed include adult, pediatric, and pregnant patients with ureteral or renal stones. [pdf] Panel Members (...) with symptomatic caliceal diverticular stones, endoscopic therapy (URS, PCNL, laparoscopic, robotic) should be preferentially utilized. Strong Recommendation; Evidence Level Grade C 45. Staghorn stones should be removed if attendant comorbidities do not preclude treatment. Clinical Principle Treatment for Pediatric Patients with Ureteral or Renal Stones 46. In pediatric patients with uncomplicated ureteral stones ≤10 mm, clinicians should offer observation with or without MET using α-blockers. (Index Patient

2016 American Urological Association

174. Management of Chronic Pain in Survivors of Adult Cancers Full Text available with Trip Pro

Dyspareunia, vaginal pain Dysuria Eye pain Oral pain and reduced jaw motion Paresthesias Scleroderma-like skin changes Surgical pain syndromes Lymphedema Postamputation phantom pain Postmastectomy pain Postradical neck dissection pain Postsurgery pelvic floor pain Post-thoractomy pain/frozen shoulder Postsurgery extremity pain (eg, sarcoma) Recommendation 1.4. Clinicians should evaluate and monitor for recurrent disease, second malignancy, or late-onset treatment effects in any patient who reports new

2016 American Society of Clinical Oncology Guidelines

175. WHO guidelines for the treatment of Chlamydia trachomatis

FOR THE TREATMENT OF CHLAMYDIA TRACHOMATIS STI Guideline Development Group (GDG): Chairpersons: Judith Wasserheit, Holger Schünemann and Patricia Garcia Members: * 8 ' @W K D WD ? H F W VO \ P S K R L G W L VVX H D Q GW U D F K R P D H \ HL Q I H F W L R Q CLINICAL PRESENTATION Genital infections due to C. trachomatis are DV \ P SW R P DW L FL QD S S U R [ L P DWH O \ RIZR P H QD Q G RIP H Q (2). Symptoms of uncomplicated chlamydial infection in women include abnormal vaginal discharge, dysuria, and post (...) -coital and intermenstrual bleeding. Common clinical signs on speculum examination include cervical friability and discharge. Symptomatic men usually present with urethral discharge and dysuria, sometimes accompanied by testicular pain. If left untreated, most genital infections will resolve spontaneously with no sequelae but they may result in severe complications, mainly in young women. Infection can ascend to the upper reproductive tract and can F D X V HS H O Y L FL Q A D P P D W R U \G LVH D VHH

2016 World Health Organisation Guidelines

176. WHO guidelines for the treatment of Neisseria gonorrhoeae

Training in Human Reproduction HSV-2 herpes simplex virus type 2 IM intramuscular MSH Management Sciences for Health MSM men who have sex with men NAATs nucleic acid amplification tests PICO population, intervention, comparator, outcome POCT point-of-care test STI sexually transmitted infection UNAIDS Joint United Nations Programme on HIV/AIDS UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund WHO World Health Organization1 WHO GUIDELINES FOR THE TREATMENT OF NEISSERIA (...) GONORRHOEAE EXECUTIVE SUMMARY Sexually transmitted infections (STIs) are a major public health problem worldwide, affecting quality of life and causing serious morbidity and mortality. STIs have a direct impact on reproductive and child health through infertility, cancers and pregnancy complications, and they have an indirect impact through their role in facilitating sexual transmission of human immunodeficiency virus (HIV) and thus they also have an impact on national and individual economies. More than

2016 World Health Organisation Guidelines

177. WHO guidelines for the treatment of Genital Herpes Simplex Virus

HSV herpes simplex virus HSV-1 herpes simplex virus type 1 HSV-2 herpes simplex virus type 2 MSH Management Sciences for Health MSM men who have sex with men NAAT nucleic acid amplification test PICO population, intervention, comparator, outcome POCT point-of-care diagnostic test STI sexually transmitted infection UNAIDS Joint United Nations Programme on HIV/AIDS UNDP United Nations Development Programme UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund WHO World Health (...) Organization ABBREVIATIONS AND ACRONYMS1 WHO GUIDELINES FOR THE TREATMENT OF GENITAL HERPES SIMPLEX VIRUS EXECUTIVE SUMMARY Sexually transmitted infections (STIs) are a major public health problem worldwide, affecting quality of life and causing serious morbidity and mortality. STIs have a direct impact on reproductive and child health through infertility, cancers and pregnancy complications, and they have an indirect impact through their role in facilitating sexual transmission of human immunodeficiency

2016 World Health Organisation Guidelines

178. GreenLight XPS for treating benign prostatic hyperplasia

and Healthcare Products Regulatory Agency Professor Janelle Y Professor Janelle Y ork orke e Lecturer and Researcher in Nursing, University of Manchester Dr Amber Y Dr Amber Y oung oung Consultant Paediatric Anaesthetist, Bristol Royal Hospital for Children GreenLight XPS for treating benign prostatic hyperplasia (MTG29) © NICE 2019. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 26 of 30NICE lead team Each medical technology assessment (...) Prostate Symptom Score [IPSS] and International Prostate Symptom Score Quality of Life [IPSS- QOL], change in prostate volume, maximum flow rate [Qmax], post-void residual volume [PVR]) duration of catheterisation rate of dysuria (pain) quality of life length of hospital stay frequency of completion as a day-case rate of re-admission procedural blood loss and blood transfusion need rate of transurethral resection of the prostate (TURP) syndrome rate of capsular perforation device-related adverse events

2016 National Institute for Health and Clinical Excellence - Medical technologies

179. Suprapubic urinary catheter

record ( ). The child’s doctor must be informed if the child: is unable to pass urine ( ) has dysuria ( ) if the entry site leaks on their first micturition The entry site must be observed for haemorrhage and urine leakage ( ). If either occurs, pressure must be applied and the child’s doctor informed ( ). The dressing should be removed after 24 hours ( ). Once the site is healed a dressing will no longer be required. The appropriate children’s community nursing team must be informed on admission (...) ( ) Suprapubic catheterisation must only be performed when absolutely necessary and be for the minimum possible time, usually three to 28 days. However, long-term use is suitable for some children ( ). Suprapubic catheters must always be managed using a non-touch technique ( ). It is recommended that all catheters and securing devices are latex free ( ). The child may experience discomfort from the catheter, even if it is the correct size and correctly positioned. Analgesia should be given as prescribed

2014 Publication 1593

180. Xigduo - dapagliflozin / metformin

) of Directive 2001/83/EC – relating to applications for new fixed combination products. The application submitted is a new fixed combination medicinal product, composed of administrative information, complete quality data, non-clinical and clinical data based on applicants’ own tests and studies and/or bibliographic literature substituting/supporting certain tests or studies. Information on Paediatric requirements Pursuant to Article 7 of Regulation (EC) No 1901/2006, the application included an EMA

2014 European Medicines Agency - EPARs

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