Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ClinMedEx 4 > Brian Miller Uro > Flashcards

Brian Miller Uro Flashcards

1
Q

Symptoms of this often mimic UTI

A

Dysfunctional voiding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Symptoms of dysfunctional voiding?

A
  • Interrupted stream
  • Frequency
  • Urgency
  • Hesitancy
  • Abd pain/discomfort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Imaging for Dysfunctional voiding?

A

-KUB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Imaging for Dysfunctional voiding if hx UTI?

A

U/S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Eval/ Procedures for Dysfunctional voiding?

A
  1. Uro Flow (bladder fxn test)

2. Bladder scan (post void residual)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

First line treatment for Dysfunctional voiding?

A

Bowel/Bladder program to help learned behavior about how/when to pee and avoiding irritants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

First line medication for Dysfunctional voiding for elevated PVR?

A

Doxazosin

-Tamsulosin for kids >7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

WHat med is contraindicated in kids for NOT elevated PVR?

A

Anticholinergics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Symptoms of this condition are nonn-specific or with a FEVER:

  • Dysuria
  • Enuresis
  • Frequency
  • Urgency
  • Hematuria
  • Hesitancy
A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the first line way to test for a UTI

A

Urinalysis (microscopic better than dipstick)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If a patient has a UTI, there is a greater liklihood of what?

A

Renal involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What imaging should be done for a patient with a UTI?

A

-Renal and bladder U/S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What imaging should be done for a patient with a UTI that is >4 years old?

A

KUB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What imaging should be done for a patient with a UTI but NOT if the patient has a fever?

A

-VCUG (voiding cyrouretogram)- contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment for UTI?

A

-Treat underlying cause and abx based on cultures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Reflux of urine from the bladder, up the ureters and at times, into the kidney

A

Vesicoureteral Reflux

17
Q

Imaging for Vesicoureteral Reflux ?

A
  • VCUG (voiding cyrouretogram)- contrast
  • Renal U/S after diagnosis
  • MAG 3 Renal Scan
18
Q

Treatment for Vesicoureteral Reflux?

A
  • *we want to AVOID surgery
  • Lower grade: wait and see
  • -> grades I to II
  • Higher grade: abx & wait and see
  • -> grades III to V
19
Q

When to do surgery for a circumcision?

A

SURGERY if:

  1. Breakthrough UTI
  2. UTI following d/c of pabx
  3. Family preference
20
Q
  • When the urethra is under the head of the penis instead of at the tip
  • Often won’t have complete foreskin on exam
A

HYDROSPADIAS

21
Q

Testes should be desdended by ____ months of age otherwise they need referral to a specialist?

A

6 months

22
Q

-Refers to the proliferation of smooth muscle and epithelial cells within the prostatic transition zone

A

BPH

23
Q

Labs and imaging for BPH?

A
  • PSA needed–> elevation can be malignancy or inflammation
  • Cytoscopy used to look inside bladder
  • UroFlow
  • Bladder Scan
24
Q

Treamtment for BPH?

A

Flomax

25
Q

S/e flomax?

A

s/e: hypotension, syncope, dizziness, arrhythmias, retrograde ejaculation

26
Q

What is the tx for BPH with irritative symptoms?

A

anticholinergic med (Oxybutynin)

27
Q

These are symptoms of what?

  • Severe back/flank pain
  • N/V
  • Hematuria
  • Resolves after stone passes
A

Urolithiasis

28
Q

Imaging for Urolithiasis?

A

-Non-Contrast CT abdomen/pelvis = BEST

29
Q

Treatment for pain and urolithiasis?

A

-Analgesic = Ketorolac

30
Q

Treatment for nausea and urolithiasis?

A

Onsansteron (Zofran)

31
Q

A varicocele is caused by dilation of the panpinoform plexus veins and almost exclusively on the ____

A

Left

32
Q

These are symptoms of what?

  • Pain (dull ache)
  • Aggrivated by standing and worse at the end of the day
A

Varicoele

33
Q

Labs for varicocele?

A

Semen analysis

ClinMedEx 4 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions