Biomedical subjects
Publications and source records attributed to J W Huffman.
Effective treatment of dyspareunia can be a simple matter of reassuring the patient or conferring with her sexual partner. Or it may require vaginal dilation, use of lubricant or estrogenic cream, or surgery. Psychogenic dyspareunia is relatively uncommon.
Most of the gynecologic problems presented by adolescent girls are dysfunctional. They include, in order of frequency: dysfunctional uterine bleeding, dysmenorrhea, and amenorrhea. Leukorrhea is also very likely to be dysfunctional, in that in many cases it is not a true vaginal discharge but an increase in vaginal secretion. For the most part, gynecologic disorders in adolescent girls are diagnosed and treated in the same fashion as similar conditions in adult women. Genital tumors are managed in accordance with accepted gynecologic principles. Inasmuch as the gynecologic disorders encountered in adolescent patients are similar to comparable ones in adult women, these problems properly belong in the realm of the gynecologist, who is best equipped to diagnose and treat them.
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A retrospective study was performed to determine the proportion of dogs with hyperadrenocorticism or diabetes mellitus or both that had urinary tract infection (UTI) and to describe clinical and laboratory findings. Dogs with these endocrine disorders were included if results of quantitative urine culture were available and dogs were not receiving antimicrobials. Dogs with positive urine cultures were considered to have UTI and dogs with negative urine cultures were used as controls. Information including history, clinical signs, physical examination findings, and results of laboratory tests and urine culture was extracted from all records. Findings in dogs with UTI were compared with control dogs. There were 101 dogs with hyperadrenocorticism or diabetes mellitus or both that met inclusion criteria; 42 (41.6%) had UTI and 59 (58.4%) did not. UTI was present in 46% of dogs with hyperadrenocorticism, 37% of dogs with diabetes mellitus, and 50% of dogs with both endocrine disorders. There was no association between endocrine group and occurrence of UTI. Escherichia coli was the most common bacteria isolated, and cultures from 29 dogs (69%) showed growth of this organism. Of dogs with UTI, <5% had stranguria, pollakiuria, or discolored urine, whereas 60% had pyuria and 69% had bacteriuria. We conclude that UTIs are common in dogs with hyperadrenocorticism, diabetes mellitus, or both diseases. Clinical signs of UTI, however, are uncommon and results of urinalysis may be normal. Therefore, it is appropriate to recommend urine culture as part of the evaluation of dogs with these endocrine disorders.