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Interstitial Cystitis Exam Questions And Accurate Answers
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Interstitial Cystitis Exam Questions And Accurate Answers4 necessary for the diagnosis of interstitial cystitis? - Answ 1. pain with full bladder or
urgency.
2. submucosal petechiae or ulcers on cystoscopic exam.
3. diagnosis of exclusion.
4. mean age 40, F > M
interstitial cystitis - Ans chronic inflammation of the bladder wall unrelated to bacterial
infection and unresponsive to conventional antibiotic therapy
recurring discomfort or suprapubic pain, bladder pressure: all related to filling of
bladder
difference between IC/PBS and overactive bladder - Answer persistent urge to void
interstitial cystitis has an unknown etiology and most likely several diseases with similar
symptoms. What are 3 associated diseases? - Answer severe allergies,
IBS,
IBD
what are s/s of interstitial cystitis (IC) - Answer any combo:
- pain increases with bladder filling relieved by urination.
-frequency, nocturia. *may urinate 60 times a day*
-dyspareunia.
-impulse to void often
-worsens with mp.
-pain upon bladder filling and emptying
-increase of s/s with menses
-pain during sexual relations
-LBP associated with bladder filling
, what are 4 theories of IC etiology? - Answer - autoimmune.
-undetectable bacterium.
-irritating subs in urine.
-hereditary role.
What can be seen in the bladder Internally with Interstitial cystitis? - Answer 1. thinning
of protective lining,
2. glomerulations- pinpoint bleeding.
3. hunner's ulcers (5%)
up to 40% of patients referred to urologists for IC are found to have a different dx. What
are 5 DDx? - Answer 1. radiation or cyclophosphamide exposure.
2. bacterial herpes or genital herpes.
3. eosinophilic or tuberculous cystitis.
4. urethral diverticulum- indurated mass from pus expression.
5. bladder or urethral carcinoma - palpable mass.
urinalysis and urine culture is order to exclude infectious causes, cytology is order to
exclude bladder malignancy. What assesses bladder sensation and compliance and
excluded detrusor instability? - Answer urodynamic testing - not used widel
Risk factors for IC - Answer 42-45 years of age is mean diagnosis age
UTI's
prostatitis
chronic yeast infections
posthysterectomy or pelvic surgery
medications : CCB's or cardiac glycosides
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