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- Urinary tract infections (UTI)
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- 590.9 Infection of kidney, unspecified
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- 315.4 Developmental coordination disorder (clumsiness, dyspraxia and/or specific motor development 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 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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- N15.9 Renal tubulo-interstitial disease, unspecified
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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.
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- Kidney and renal pelvis infection
- Severe pain, with or without attempts at urination, in adult males and females; no pain at all, especially in the elderly and children
- Pain in the low back with possible tenderness to palpation of the kidneys
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Essentials of Diagnosis
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- May be indicative of serious medical conditions
- May mimic colon cancer or tumors, irritable bowel, colitis or, in females, gynecological problems such as endometriosis, uterine fibroids, or ectopic pregnancies
- Recognize the possibility of UG pathology in the differential diagnosis process, especially when findings are not consistent with conditions commonly treated (i.e., musculoskeletal, neuromuscular, integumentary, cardiopulmonary)
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General Considerations
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- Diagnosis for more occult problems may take time and require intensive medical diagnostic testing
- Possible referred pain to back, pelvic region, or rectal area (in men)
- Symptoms are frequently referred to the back and abdominal areas, so it may be common to have patients inappropriately referred to PT
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- Females more susceptible than males to cystitis secondary to the anatomical proximity of the urethra to the anus and the bladder
- Females more susceptible than males to urethritis because of anatomical proximity of the urethra to the vagina; urethritis can also be caused by sexually transmitted diseases (e.g., herpes, gonorrhea, chlamydia)
- Approximately 50% of all women will have a urinary tract infection (UTI) in their lifetimes
- Children are at greater risk, with ~ 3% annually having a UTI
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- Urethra (urethritis)
- Burning with urination
- Difficulty urinating
- Bladder (cystitis)
- Pelvic pressure
- Lower abdomen discomfort
- Frequent, painful urination
- Blood in urine
- Kidneys (acute pyelonephritis)
- Upper back and side (flank) pain
- High fever
- Shaking and chills
- Nausea
- Vomiting
- Painful urination
- Malodorous urine
- Change in color of urine
- Positive cultures
- Possible secondary problems may, depending on severity, indicate the need for physical therapy intervention
- Impairment of aerobic capacity and muscle endurance
- Sarcopenia
- Weakness or impaired muscle performance
- Musculoskeletal problems
- Neuromuscular problems
- Weight loss or weight gain
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Functional Implications
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- Severe symptoms, such as urgent need to urinate, may be ...