The adolescent with pelvic inflammatory disease: assessment and management

Article Abstract:

Sexually active teenage girls are at high risk for pelvic inflammatory disease (PID), and clinicians may need to employ special strategies to get them to comply with a treatment regimen. Lower abdominal and adnexal tenderness and cervical motion tenderness are indicative of PID, and may be accompanied by fever, high white blood cell count and purulent discharge. Diagnostic methods include cultures, laparoscopy and ultrasound. Teenage girls may require inpatient treatment, and a contract may increase compliance with therapy and follow-up. Education about prevention of recurrences is extremely important.

Care and treatment, Diseases, Teenage girls, Pelvic inflammatory disease

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Urodynamic tests: client preparation, assessment, and follow-up

Article Abstract:

Primary care practitioners may perform urodynamic tests to evaluate lower urinary tract function and aid in diagnosing urination disorders. Practitioners should prepare patients for each test by explaining its purpose and instruments and procedures used. Patient comfort should also be addressed. Urodynamic assessment comprises urinary flow rate determination, simple urodynamic testing, sphincter electromyography, filling and voiding cystometrogram, urinary pressure-flow and urethral pressure studies, valsalva leak point pressure and video/fluoroscopy urodynamics.

Diagnosis, Urination disorders

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