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First Aid: Step 2 CS > Differential & Work-up: Hematuria, ED, Other Urinary Symptoms > Flashcards

Differential & Work-up: Hematuria, ED, Other Urinary Symptoms Flashcards

1
Q

65 yo M presents with painless hematuria. He is a heavy smoker and works as a painter.

A
  1. Bladder cancer
  2. Renal cell carcinoma
  3. Nephrolithiasis
  4. Prostate cancer
  5. Acute glomerulonephritis
  6. Coagulation disorder (ie, factor VIII antibodies)
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2
Q

WORK UP FOR:

  1. Bladder cancer
  2. Renal cell carcinoma
  3. Nephrolithiasis
  4. Prostate cancer
  5. Acute glomerulonephritis
  6. Coagulation disorder (ie, factor VIII antibodies)
A
  1. Cystoscopy
  2. U/S-renal/bladder
  3. CT -abdomen/ pelvis
  4. UA, urine cytology
  5. Prostate biopsy
  6. CBC,CMP
  7. PT/PTT,PSA
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3
Q

35 yo M presents with painless hematuria. He has a family history of kidney disease.

A
  1. Polycystic kidney disease
  2. Nephrolithiasis
  3. UTI
  4. Acute glomerulonephritis (eg, IgA nephropathy)
  5. Coagulation disorder
  6. Bladder cancer
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4
Q

WORK UP FOR:

  1. Polycystic kidney disease
  2. Nephrolithiasis
  3. UTI
  4. Acute glomerulonephritis (eg, IgA nephropathy)
  5. Coagulation disorder
  6. Bladder cancer
A
  1. U/S-renal
  2. CT-abdomen/pelvis
  3. UA, urine cytology
  4. CBC, CMP
  5. PT/PTT
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5
Q

55 yo M presents with flank pain and blood in his urine without dysuria. He has experienced weight loss and fever over the past 2 months. Exam reveals a flank mass.

A
  1. Renal cell carcinoma
  2. Pyelonephritis
  3. Acute glomerulonephritis
  4. Bladder cancer
  5. Nephrolithiasis
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6
Q

WORK UP FOR:

  1. Renal cell carcinoma
  2. Pyelonephritis
  3. Acute glomerulonephritis
  4. Bladder cancer
  5. Nephrolithiasis
A
  1. U/S-renal
  2. CT-abdomen/pelvis
  3. Cystoscopy
  4. UA, urine cytology
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7
Q

60 yo M presents with nocturia, urgency, weak stream, and terminal dribbling. He denies any weight loss, fatigue, or bone pain. He has had two episodes of urinary retention that required catheterization.

A
  1. Benign prostatic hypertrophy (BPH)
  2. Prostate cancer
  3. Urolithiasis
  4. UTI
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8
Q

WORK UP FOR:

  1. Benign prostatic hypertrophy (BPH)
  2. Prostate cancer
  3. Urolithiasis
  4. UTI
A
  1. U/S-prostate (trans rectal)
  2. PSA
  3. UA
  4. CBC,CMP
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9
Q

71 yo M presents with nocturia, urgency, weak stream, terminal dribbling, hematuria, and lower back pain for the past 4 months. He has also experienced weight loss and fatigue.

A
  1. Prostate cancer
  2. BPH
  3. Renal cell carcinoma
  4. UTI
  5. Urolithiasis
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10
Q

WORK UP FOR:

  1. Prostate cancer
  2. BPH
  3. Renal cell carcinoma
  4. UTI
  5. Urolithiasis
A
  1. U/S-prostate (transrectal)
  2. CT-pelvis
  3. MRI-spine
  4. Prostate biopsy
  5. PSA
  6. UA
  7. CBC,CMP
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11
Q

18 yo M presents with a burning sensation during urination and urethral discharge. He recently had unprotected sex with a new partner.

A
  1. Urethritis
  2. Cystitis
  3. Prostatitis
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12
Q

WORK UP FOR:

  1. Urethritis
  2. Cystitis
  3. Prostatitis
A
  1. NAAT urine for chlamydia and gonorrhea screening
  2. RPR
  3. HN
  4. UA, urine culture
  5. Gram stain and culture of urethral discharge
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13
Q

45 yo diabetic F presents with dysuria, urinary frequency, fever, chills, and nausea for the past 3 days. There is left CVA tenderness on exam.

A
  1. Acute pyelonephritis
  2. Lower UTI (cystitis, urethritis)
  3. Nephrolithiasis
  4. Renal cell carcinoma
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14
Q

WORK UP FOR:

  1. Acute pyelonephritis
  2. Lower UTI (cystitis, urethritis)
  3. Nephrolithiasis
  4. Renal cell carcinoma
A
  1. UA, urine culture and sensitivity
  2. Blood cultures
  3. U/S-renal
  4. CT -abdomen, CBC,
  5. CMP
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15
Q

55 yo F presents with urinary leakage after exercise. She loses a small amount of urine when she coughs, laughs, or sneezes. She also complains of vague low back pain. She has a history of multiple vaginal deliveries, and her mother had the same problem after the onset of menopause.

A
  1. Stress incontinence
  2. Mixed incontinence
  3. Overflow incontinence
  4. Urge incontinence
  5. Functional incontinence
  6. UTI
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16
Q

WORK UP FOR:

  1. Stress incontinence
  2. Mixed incontinence
  3. Overflow incontinence
  4. Urge incontinence
  5. Functional incontinence
  6. UTI
A
  1. Postvoid residual
  2. Bladder stress test
  3. UA, urine culture
  4. CMP
  5. Cystourethroscopy
  6. Urodynamic testing
17
Q

33 yo F presents with urinary leakage. She is unable to suppress the urge to urinate and loses large amounts of urine without warning. She has a history of UTI’s and a family history of diabetes mellitus. She drinks 8 cups of coffee per day. She has been under stress since her sister passed away a few months ago.

A
  1. Urge incontinence
  2. Mixed incontinence
  3. Overflow incontinence
  4. Stress incontinence
  5. Functional incontinence
  6. UTI
18
Q

WORK UP FOR:

  1. Urge incontinence
  2. Mixed incontinence
  3. Overflow incontinence
  4. Stress incontinence
  5. Functional incontinence
  6. UTI
A
  1. Postvoid residual
  2. Bladder stress test
  3. UA, urine culture
  4. CBC,CMP
  5. Cystourethroscopy
  6. Urodynamic testing
19
Q

47 yo M presents with impotence that started 3 months ago. He has hypertension and was started on atenolol 4 months ago. He also has diabetes and is on insulin.

A
  1. Drug-relatederectile dysfunction (ED)
  2. ED caused by hypertension
  3. ED caused by diabetes mellitus
  4. Psychogenic ED
  5. Peyronie disease
20
Q

WORK UP FOR:

  1. Drug-related erectile dysfunction (ED)
  2. ED caused by hypertension
  3. ED caused by diabetes mellitus
  4. Psychogenic ED
  5. Peyronie disease
A
  1. CMP
  2. CBC
  3. Fasting glucose level
  4. Testosterone level
  5. TSH

First Aid: Step 2 CS (23 decks)

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