EFA

Question 1

Treatment

Question 2

Urosepsis with obstruction - immediate management

Answer 2

JJ ureteric stent OR nephrostomy

Question 3

When is lithotripsy contraindicated?

Answer 3

Lithotripsy - shock waves - CI in urinary infection

Answer 4

Ureteric stent

Question 5

Ureteric stone management

Answer 5

Management

<5mm - wait and watch
over 5mm - alpha blockade

Question 6

Differentials for loin to groin pain

Answer 6

Appendicitis
Testicular torsion
Ureteric stone
Pyelonephritis
Abdominal aortic aneurysm

Question 7

Investigation for suspected ureteric stone

Answer 7

Non contrast CT Abdomen and pelvis

Question 9

Can we quickly run through ureteric stone management please?

Question 10

Differentials for increased frequency and urgency and nocturia

Answer 10

Overactive bladder - normal perineum
Pelvic floor weakness - provoked by coughs

Answer 11

Micturition scan

Question 12

Overactive bladder management

Answer 12

Conservative - Stop caffeinated drinks, fizzy drinks; bladder retraining (delay when you go to the toilet)

Medical - Anticholinergic such as oxybutynin or solifenacin

Surgical - Botox only if detrussor overactivitiy

Question 13

Hydrocele - gross swelling
Epidydmal cyst - upper outer area, transilluminates