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Urinary Pathologies

November 29, 2010

Review of Mosby’s Pathology for Massage Therapists, 2nd edition, by Salvo and Anderson. Within the course of Dr. Johnson.

The kidneys are the primary organs of the urinary system. Other organs of the urinary system are ureters, urinary bladder, and urethra. The functions of the kidneys are regulation of blood levels of ions, regulation of blood pH, adjusting blood volume, regulation of blood pressure, production of hormones, and the production and excretion of waste. The kidney produces two hormones: calcitrol and erythropoietin. The kidney contain a million of nephrons. Nephrons are the functional units of the kidneys. Blood cells and proteins are too large to fit through the filtration of membrane. Therefore, the presence of either molecules in urine indicate kidney dysfunction. The juxtaglomerular apparatus in the nephron measures the body’s blood pressure. An overview of glomerunephritis, nephrotic syndrome, kidney stones, pyelnephritis, polycystic kidney disease, and renal failure follow in the chapter. The chapter concludes with a discussion of disorders of the bladder and urinary tract.

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Renal Failure

August 19, 2010

Renal failure occurs when the kidneys are unable to perform their normal functions. The two main types of renal failure are acute and chronic. Acute renal failure occurs suddenly and there is an acute reduction in renal function. Because of the abruptness, people who experience acute renal failure are quickly hospitalized and treated. Chronic renal failure occurs slowly over time, and is typically not discovered until the kidney function is 25% less than normal, at which the condition is usually irreversible. There are several terms to understand when discussing renal failure. The term renal failure means significant loss of renal functioning. The term renal insufficiency means renal function is less than 25% of normal. The term end stage renal disease means that only 10% or less of renal function remains. The term azotemia means the kidneys cannot remove urea from the blood so it removes it from the sweat glands. The last term when describing renal failure is uremia which means azotemia is occurring and there are elevated blood urea and creatinine levels. If a client is in acute renal failure, the massage is postponed until the condition is resolved. If a client is in chronic renal failure, massage is contraindicated.

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Urinary Pathologies

August 10, 2010

Patients with urinary disorders are a special population. For instance, a client with Nephrotic Syndrome might first present with swollenness around the periorbital region which eventually spreads to other areas of the body including the abdomen, extremities, and the scrotum in males. If the client is undiagnosed and the practitioner notices such symptoms in combination with pallor, weight gain, and loss of appetite (if the client has mentioned this to the therapist), the therapist should recommend the client see his or her physician before continuing therapy. Once therapy has been approved for the patient with Nephrotic Syndrome, the therapist must take precautions to ensure the comfort of the patient. Direct pressure over the kidneys is not advised and should be avoided when at all possible. If the patient begins to complain of fatigue, the therapist should shorten the treatment and focus on only the most necessary aspects of therapy for the client.

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Urinary Pathologies

July 30, 2010

Review of Mosby’s Pathology for Massage Therapists, 2nd edition, by Salvo and Anderson. Within the course of Dr. Johnson.

Urinary infections and disorders, like the last chapter, will more be about the side effects accompanying them. Edemas are a common side effect for many of the urinary diseases, such as Nephritic syndrome and Glomerulonephritis. These areas of the body need to remain elevated and pressure should be avoided. Frequent urination is also a common side effect of diseases such as Pyelonephritis and Polycistic Kidney Disease. This side effect, like with Celiac Disease mentioned in my last discussion, could cause the patient to need frequent bathroom breaks and make for an overall shorter session. Kidney Failure is also something I should be aware of, because patients with Chronic Renal Failure can often feel weak and fatigued and can sometimes experiences seizures.

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Urinary System Pathology

July 19, 2010

I see that massage does not directly affect the urinary system, but massage therapists still need to be acquainted with the important system. The kidneys filter waste out of the blood as well as maintaining blood pressure. Massage therapy can affect blood flow so pathologies of the urinary system should be carefully considered. Some urinary pathologies are kidney disorders like kidney stones which are extremely painful to pass and there are disorders of the bladder itself such as bladder cancers. I know that if any client has cancer I would want medical permission to proceed with massage.

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Kidney Dialysis

July 14, 2010

When a person’s kidneys do not function properly he can receive dialysis.  Dialysis rids the blood of toxic substances.  Hemodialysis is done with an external machine.  The person goes to a hospital or another health center about three times a week to receive the treatment.  The other type of dialysis is Peritoneal dialysis.  This can be done at home but is done every night.  Either way, kidney disease and receiving dialysis is a very tiring, stressful situation.  It is important to make every accommodation possible for clients receiving dialysis when scheduling appointments due to the added time needed to receive Hemodialysis dialysis.  Also, those who receive Peritoneal dialysis may become very tired between massage treatments; it is important to be patient with these clients as they may be tired and irritable, or may need to cancel some massage therapy appointments because they are too tired.

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Kidney Stones

July 14, 2010

An acquaintance of mine has had numerous kidney stones over the years. He takes prescription medication to try and prevent the formation of new stones. He has had a few surgeries to remove them. The last surgery the surgeon nicked his urethra and it didn’t heal right, leaving scar tissue and causing pain. He had surgery to repair the tube but by then the kidney’s output had diminished and the kidney was failing. After years of having stones and multiple surgeries his kidneys had gone through a great deal of trauma. Over the next couple of years the kidney kept deteriorating and finally it had to be removed. Now with only one kidney left and his history of so many stones, I wonder how this kidney will do or if some day he will need a transplant. His poor diet and daily drinking habit of soda does not help the situation. If he started getting regular swedish massages to help relax and promote circulation this could help his blood pressure since he only has one kidney to regulate it. Also, good circulation could help his immune system stay strong and reduce the number of urinary infections over time.

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Urinary Pathology

July 12, 2010

I had no idea the kidney was responsible for producing Vit D and regulating blood pressure. It should be obvious to a massage therapist if a client was experiencing a kidney disorder of some type and should not perform massage until clearance was given by the client’s physician, even then proceed with caution. I can’t imagine anyone wanting a massage if they had a flare up of a kidney disorder.

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Urinary System Pathologies Chapter 12

May 3, 2010

Review of Mosby’s Pathology for Massage Therapists, 2nd edition, by Salvo and Anderson. Within the course of Dr. Johnson.

The Kidney disorders in this chapter Kidney stones, Renal Failure, Polycystic Kidney disease to name a few were very informative. I know a few people that have had some of these pathologies. I enjoyed learning about the Renal Dialysis. I was never sure how that really worked and now I know. It sure takes up a good part of your day for the dialysis’s process. Amazing how the medical field has figured out all these amazing techniques they can do to improve and save people’s lives. The case study on in this chapter, I think I would tell the wife whose husband is on dialysis and she wants him to get a massage I would tell her that I would like to check up on my notes about Dialysis before giving her an answer and if I decided I was not comfortable giving him a massage I would refer her to someone that works with Dialysis patients. I would most likely contact a hospital or dialysis center and ask them to refer me to someone they might be able to recommend.

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urinary system pathologies

April 23, 2010

Our body is constantly making wastes and this wastes need to be expelled out of the body. The urinary system is in charge of that purification of the blood by eliminating nitrogenous waste, water, electrolytes, uric acid , lactic acid, urea, oxalic acid, drugs,. The kidneys form urine from the blood and they can maintain the PH and normal composition and volume of the body fluids by excretion of water and electrolytes. Two kidneys, two ureters, one bladder, one urethra, form the urinary system very simple and effective. The urinary system can be affected by chronic infections from other organs like mouth, throat, sinuses, causing serious damage infection to the glomerulus. The formation of calculi can block the flow of urine and cause severe pain. The massage therapist should be careful not to overload weak kidneys with extra waste from the massage.

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Urinary System

April 15, 2010

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

While reading Chapter 10 in my text book I learned about the Urinary system. The urinary system filters and gets rid if toxins in the body. Polycystic Kidney Disorder (PKD) is a common Urinary pathology, and is the most common genetic disorder, this can cause cysts and cell death it can lead to renal failure, massage can be performed only with medical release from their health care provider. Uremia is another pathology linked to the Urinary system, it is when toxic levels of urea and other wastes are in the blood because of the kidneys inability to filter correctly, this pathology also need medical clearance for the client to receive a massage.

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Urinary System Conditions

April 15, 2010

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

Chapter 10 killed my appetite with an efficiency that is truly awe inspiring. I can’t argue with the introduction portion of this chapter, and I fully accept that, as medical practitioners, we should have a basic and even advanced understanding of every physiological system we hear of. I cannot fault the thorough nature of that introduction. It was very informative and mostly painless. Even the pathological portion was very useful, with its contraindications and massage recommendations. But the pictures are simply unforgivable, showing bits of a person we hope to never see, in some very poor shape, and sometimes being eaten by tumors and cysts. I just don’t understand what seeing it is supposed to accomplish.

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