Interstitial Cystitis: Difference between revisions

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== Differential Diagnosis  ==
== Differential Diagnosis  ==


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NIDDK* Diagonostic Critera for Interstitial Cystitis (MacDiarmid SA)<br>
 
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 &lt; 2 times per night
*Symptoms duration &lt; 12 months
*Bladder Capacity &gt; 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  ==
== Case Reports  ==

Revision as of 02:15, 18 February 2010

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.

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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]

add links to case studies here (case studies should be added on new pages using the case study template)

Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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.