Day 9 - GU3 Quiz Flashcards
Signs of peritonitis, looks like rupture of bladder, most common cause
blunt trauma to fully distended bladder
Pt of bladder must be injured to allow chemical peritonitis t o develop
Dome of bladder (ruptured to spill contents, only part covered w/ peritoneum, otherwise contained in pelvis)
Next step mgt F w/ uncomplicated cystitis
Dx w/ UA & clinical sx; Tx w/ TMP-SMX (or other drug) for 3 days, urine cultx not necessary
Newborn male has distended bladder & oliguria - most likely congenital cause of urinary obstx
Posterior urethral valves
Tx epididymitis
35 or rectal sex: TMP-SMX or fluoroquinolone for 10-14 days (Enterobacteriacea - E.coli & other typical UTI bugs)
Labs w/u Erectile Dysfunction
Total testosterone, prolactin, TSH, possibly also PSA (any prostate pathology will increase this)
Tx for enuresis
Enuresis alarm is most effective; Meds - imipramine (not effective for more than 6 wks)
Tx BPH
Non-selective alpha blockers (-zosin drugs) if HTN OR Selective alpha blocker (tamsulosin) AND 5 alpha reductase inhibitor (e.g. finasteride)
Main risk for bladder CA
Smoking (most common cause); 3rd world country - Schistosoma haemotobium; Anilene dyes, petroleum byproducts, cyclophosphamide (mesna prevents urotoxic metabolite)
Tx urethritis
Presuming STD, Ceftriaxone IM, Doxycycline for 10 days;
S/Sx testicular torsion v. epididymitis
Acute, no signs of infx, raised/horizontal testicle, support not help with pain, absent cremasteric v. Subacute, signs of infx, normally placed testicle, support help relieve pain, present cremasteric
Varicocele classically p/w
Commonly due to infertility; Scrotal mass that transilluminates +/- scrotal pain or testicular atrophy on affected side
3 yo male p/w ab pain, hematuria, HTN - most likely dx
Wilm’s tumor
Defining characteristic of hydrocele
Transillumination
Next step mgt testicular torsion confirmed w/ US
Manually detorsion; Still Need surgery for detorsion &/or b/l orchiopexy
