The Urologic clinics of North America
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The use of computer-based care-oriented physiologic evaluation is still in its developmental stage. However, it seems likely that the capability of computer-based applications to critically ill patients are such that quality and cost-effective intensive care can be delivered in a timely and expeditious fashion. This application has a high promise of helping to reduce the mortality and morbidity of the critically ill or injured surgical patient, now and in the future.
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Dysuria remains one of the most common symptoms experienced by adult women. In the past, women with dysuria were generally classified as having cystitis or the acute urethral syndrome based on results of quantitative urine cultures. ⋯ Urethritis caused by C. trachomatis or N. gonorrhoeae and vaginitis can also produce symptoms of urinary infection. Proper management of dysuric women requires evaluation for these illnesses and treatment directed at the specific cause of infection.
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Acute pelvic inflammatory disease is one of the most important consequences of sexually transmitted infection. Of sexually active women in the United States, one million (or 1 per cent) develop the infection. ⋯ Organisms that cause the infection include Neisseria gonorrhoeae, Chlamydia trachomatis, genital mycoplasma, and a wide variety of facultative and anaerobic bacteria. Prompt recognition and therapy are necessary to reduce the sequelae.
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Genital warts (condylomata acuminata) and molluscum contagiosum have a significant sexual mode of transmission. They are considered "minor," nonreportable sexually transmitted diseases. As with most lesions, the differential diagnosis must exclude other malignant and nonmalignant diseases. The etiology, diagnosis, management, and epidemiology of both diseases are presented separately.