Interstitial Cystitis: Difference between revisions
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== Differential Diagnosis == | == Differential Diagnosis == | ||
NIDDK* Diagonostic Critera for Interstitial Cystitis (MacDiarmid SA)<br> | NIDDK* Diagonostic Critera for Interstitial Cystitis (MacDiarmid SA)<br> | ||
Automatic Inclusion: | Automatic Inclusion: | ||
*Hunner's ulcer | *Hunner's ulcer | ||
<br> | |||
Positive factors (2 must be present for inclusion): | |||
*Pain on bladder filling relieved by emptying | |||
*Pain (suprapublic, pelvic, urethral, vaginal, or perineal) | |||
*Pain on bladder filling relieved by emptying | *Glomerulations on cystoscopy | ||
*Pain (suprapublic, pelvic, urethral, vaginal, or perineal) | |||
*Glomerulations on cystoscopy | |||
*Decreased compliance on cystometrogram | *Decreased compliance on cystometrogram | ||
<br> | |||
Exclsuions: | |||
*Nocturia < 2 times per night | |||
*Symptoms duration < 12 months | |||
*Nocturia < 2 times per night | *Bladder Capacity > 400 mL | ||
*Symptoms duration < 12 months | *Involuntary bladder contractions | ||
*Bladder Capacity > 400 mL | *Other causes of sxs: | ||
*Involuntary bladder contractions | |||
*Other causes of sxs: | |||
Bladder Cancer, Cystitis (radiation, tuberculous, bacterial, vaginitis, active herpes, bladder or lower calculi, involuntary bladder contractions. | Bladder Cancer, Cystitis (radiation, tuberculous, bacterial, vaginitis, active herpes, bladder or lower calculi, involuntary bladder contractions. | ||
*NIDDK- National Institute of Diabetes and Digestive and Kidney Diseases | *NIDDK- National Institute of Diabetes and Digestive and Kidney Diseases |
Revision as of 02:20, 18 February 2010
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Interstitial cystitis (IC) is a disorder affecting the bladder characterized by uroepithelial inflammation and/or hypersenstivity of the afferent nerves of the bladder.(Oyama, IA)
Prevalence[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
NIDDK* Diagonostic Critera for Interstitial Cystitis (MacDiarmid SA)
Automatic Inclusion:
- Hunner's ulcer
Positive factors (2 must be present for inclusion):
- Pain on bladder filling relieved by emptying
- Pain (suprapublic, pelvic, urethral, vaginal, or perineal)
- Glomerulations on cystoscopy
- Decreased compliance on cystometrogram
Exclsuions:
- Nocturia < 2 times per night
- Symptoms duration < 12 months
- Bladder Capacity > 400 mL
- Involuntary bladder contractions
- Other causes of sxs:
Bladder Cancer, Cystitis (radiation, tuberculous, bacterial, vaginitis, active herpes, bladder or lower calculi, involuntary bladder contractions.
- NIDDK- National Institute of Diabetes and Digestive and Kidney Diseases
Case Reports[edit | edit source]
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Resources
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
Mac Diarmid SA, Sand PK. Diagnosis of Interstitial Cystitis/Painful Bladder Syndrome in Patients with Overactive Bladder Symptoms. Rev. Urol. 2007; 9 (1): 9-16.
Oyama IA, Reijba A, Lukban JC, Fletcher E, et al. Modified Thiele Massage as Therapeutic Intervention for female Patients with Interstitial Cystitis and High-Tone Pelvic Floor Dysfunction. Urology.; 64 (5): 862-865.