Notes on Chapter 10

by

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson.

This chapter is about urinary pathologies. The chapter begins with an introduction of the system. Massage therapy does not affect the urinary system directly. The main structures in the urinary system are the kidneys, ureter, urinary bladder and the urethra. The kidneys filter wastes out of the blood and therefore maintain homeostasis. The overall six functions of the kidneys include: helping with the regulation of the blood levels of several ions (sodium, potassium, calcium and phosphate), helping with the regulation of blood pH by eliminating acids and conserving buffers, adjusting blood volume by conserving or eliminating water in the urine, regulating blood pressure by adjusting blood volume, producing calcitrol and erythropoietin, and excreting wastes and other foreign substances. The chapter then goes on to explain the process of removing wastes via urine from the beginning to excretion. AS in the other chapters, this one includes a list of possible questions to ask to evaluate the urinary system in the premassage interview. If the client has discoloration or blood in the urine, fever accompanied by pain (in the abdominal, groin, flank, or lower back area), painful or difficult urination, edema, or decreased urinary output the therapist is advised to direct the client to their health provider. The remainder of the chapter is dedicated to urinary pathologies. Some of the ones discussed includes: kidney stones, pyelonephritis, uremia, and urinary tract infection. I found the section on kidney stones most interesting because many of my family members, including my mom, have them.

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