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Condition/Disorder Synonyms

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  • UTI

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ICD-9-CM Codes

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  • 590.9 Infection of kidney, unspecified

  • Associated ICD-9-CM PT diagnoses/treatment diagnosis that may be directly related to urogenital (UG) disorders or consequences from bed rest, surgery, or inactivity or directly related to UG disorders specifically

    • 315.4 Developmental coordination disorder

    • 718.45 Contracture of joint, pelvic region and thigh

    • 719.70 Difficulty in walking

    • 728.2 Muscular wasting and disuse atrophy

    • 728.89 Other disorders of muscle, ligament, and fascia

    • 729.9 Other and unspecified disorders of soft tissue

    • 780.7 Malaise and fatigue

    • 781.2 Abnormality of gait

    • 782.3 Edema

    • 786.0 Dyspnea and respiratory abnormalities

    • 786.05 Shortness of breath

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ICD-10-CM Codes

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  • N15.9 Renal tubulointerstitial disease, unspecified

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Preferred Practice Pattern

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  • As of January 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.1

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Key Features

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Description

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  • Can occur in any component of the urinary system: upper UTIs (kidneys and ureters) and lower UTIs (urethra and bladder)

  • Sudden onset of confusion in elderly without fever

  • Severe pain with or without attempts at urination in males and females or no pain at all, especially in the elderly and children

  • Changes in color, volume (decrease), and odor of urine

  • Most common in bladder and urethra

    • Cystitis

    • Urethritis

  • If spread to kidneys, symptoms more severe, and pain is located in the lower back with possible tenderness to palpation of the kidneys

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Essentials of Diagnosis

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  • Difficulty urinating

  • Painful urination

  • Malodorous urine

  • Pelvic pain in women

  • Rectal pain in men

  • Change in color of urine

  • Positive cultures

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General Considerations

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  • Diagnosis for more occult problems may take time and require intensive medical diagnostic testing

  • May refer pain to back, pelvic region, or rectal area (men)

  • May result in secondary problems such as

    • Aerobic capacity and muscle endurance impairment

    • Sarcopenia

    • Weakness/impaired muscle performance

    • Musculoskeletal problems

    • Neuromuscular problems

  • May mimic colon cancer or tumors, irritable bowel, colitis, or gynecological problems in females such as endometriosis, uterine fibroids, or ectopic pregnancies

  • May or may not be associated with fever

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Demographics

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  • More common in women than men in general

  • Women more susceptible to cystitis, secondary to the anatomical proximity of the urethra to the anus and the urethra to the bladder

  • Frequently associated with sexual intercourse

  • Women more susceptible to urethritis because of anatomical proximity of urethra to vagina, and can be caused by sexually transmitted diseases such as herpes, gonorrhea, and chlamydia

  • About half of all women will have a UTI in their lifetime

  • Children are at greater risk, 8% of girls and 2% of boys will acquire UTIs in childhood.2

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Clinical Findings

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Signs ...

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