CUA: Interstitial Cystitis (2016): Difference between revisions
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=== UrologySchool.com Summary === | === UrologySchool.com Summary === | ||
* '''Mandatory (1):''' | * '''<span style="color:#ff0000">Mandatory (1):''' | ||
*# '''History and Physical Exam''' | *# '''<span style="color:#ff0000">History and Physical Exam''' | ||
* '''Recommended (4):''' | * '''<span style="color:#ff0000">Recommended (4):''' | ||
*# '''Urinalysis/culture''' | *# '''<span style="color:#ff0000">Urinalysis/culture''' | ||
*# '''Symptom scores''' | *# '''<span style="color:#ff0000">Symptom scores''' | ||
*# '''Frequency volume chart''' | *# '''<span style="color:#ff0000">Frequency volume chart''' | ||
*# '''Cystoscopy''' | *# '''<span style="color:#ff0000">Cystoscopy''' | ||
* '''Optional (5):''' | * '''<span style="color:#ff0000">Optional (5):''' | ||
*# PVR | *# <span style="color:#ff0000">PVR | ||
*# Urine cytology | *# <span style="color:#ff0000">Urine cytology | ||
*# Imaging | *# <span style="color:#ff0000">Imaging | ||
*# Intravesical anesthetic challenge | *# <span style="color:#ff0000">Intravesical anesthetic challenge | ||
*# Hydrodistension | *# <span style="color:#ff0000">Hydrodistension | ||
* '''Not recommended: potassium sensitivity test, bladder biopsy, urodynamics''' | * '''Not recommended: potassium sensitivity test, bladder biopsy, urodynamics''' | ||
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===== History ===== | ===== History ===== | ||
* '''Signs and Symptoms''' | * '''<span style="color:#ff0000">Signs and Symptoms''' | ||
**'''Characteristic presentation includes a combination of pain, frequency, nocturia, and urgency''' | **'''<span style="color:#ff0000">Characteristic presentation includes a combination of pain, frequency, nocturia, and urgency''' | ||
*** '''Pelvic pain is the main descriptor of IC/BPS''' | *** '''<span style="color:#ff0000">Pelvic pain is the main descriptor of IC/BPS''' | ||
**** '''Pain that occurs only during voiding is not consistent with IC/BPS''' | **** '''Pain that occurs only during voiding is not consistent with IC/BPS''' | ||
***** Vulvar disorders, which cause pain when urine makes contact with the vulva, should instead be considered '''(see Table 1 from Original Guideline for differential diagnosis).''' | ***** Vulvar disorders, which cause pain when urine makes contact with the vulva, should instead be considered '''(see Table 1 from Original Guideline for differential diagnosis).''' | ||
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==== Labs ==== | ==== Labs ==== | ||
#'''Urinalysis +/- culture''' | #'''<span style="color:#ff0000">Urinalysis +/- culture''' | ||
#* If signs of UTI are identified on urinalysis (e.g. positive for leukocytes), a culture and sensitivity is required. | #* If signs of UTI are identified on urinalysis (e.g. positive for leukocytes), a culture and sensitivity is required. | ||
#** '''If sterile pyuria persists''', '''consider testing for Chlamydia trachomatis, Mycoplasma, Ureaplasma, Corynebacterium species, Candida species, and Mycoplasma tuberculosis.''' | #** '''If sterile pyuria persists''', '''consider testing for Chlamydia trachomatis, Mycoplasma, Ureaplasma, Corynebacterium species, Candida species, and Mycoplasma tuberculosis.''' | ||