Genitourinary Differential
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 16 October 2019
⏱️ 16 minutes
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Summary
Dwayne presents for an initial evaluation for lower back and perineal pain but without a comprehensive medical history.
The physical therapist is challenged with determining the correct GU diagnosis.
How well do you know your GU pathologies? Let's test your knowledge in this excellent episode about genitourinary differential.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT |
| 0:12.2 | prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient, Duane. And Duane |
| 0:33.5 | presents for an evaluation of his lower back and perineal pain but arrives without a comprehensive |
| 0:42.3 | medical history the patient reports a sudden onset of fever dysuria and urgency one week ago |
| 0:52.8 | the patient's medication list shows active 500 milligrams of levyquin. |
| 1:00.2 | Which of the following is the patient most likely experiencing? |
| 1:04.5 | So we have A, prostateitis, B, ureteritis, C, benign prostate hyperplasia, and D is prostate cancer. |
| 1:20.7 | All right, so this is one of the GU questions. |
| 1:23.7 | It's really often missed because we spend more time in musculoskeletal, neurocardio, and all those other ones, |
| 1:29.3 | but we don't spend much time in these male-dominated pathologies, geo-pathologies. |
| 1:35.7 | So what we need to do is we need to walk our way through this question, figure out what we need to use in order to get down to the final answer. |
| 1:43.5 | So tune in with me so we got duane |
| 1:46.0 | presents for an evaluation of his lower back and perineal pain but arrives without a comprehensive |
| 1:54.4 | medical history so that's a long sentence there a little verbose but there are some things that we want to pay attention to. |
| 2:02.5 | I would say the fact that the patient has lower back pain and paroneal pain is important |
| 2:08.3 | because not all GU pathologies are going to give you perineal pain. |
| 2:14.1 | So we want to keep that in mind. |
| 2:15.8 | So think about what type of geo pathologies are consistent with perineal pain. So we want to keep that in mind. So think about what type of geo pathologies are consistent |
... |
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