Genito-urinar

Question 1

Tumora wilms FR

Answer 1

neurofibromatoza, istoric familial+ alte anomalii GU

Question 2

T. wilms-clinica

Answer 2

Greata, varsaturi, scadere ponderala
HTA
Febra
Masa palpabila abdominala sau in flacuri
disurie, poliurie

Question 3

Lab+imagistica Wilms

Answer 3

uree creatinina hlg
ct+eco tumora
CT+Radiografie metastaze

Question 4

Tratament wilms

Answer 4

nefrectomie/ rezectie chir
chimioT
adesea RT

Question 5

Cine poate da infertilitate?

Answer 5

Deschiderea anormala ed uretra+Criptorhidia

Question 6

Unde se poate deschide anormal uretra si cand este observat? tratament?

Answer 6

Epispadias (deasupra) hipospadias (inferior)
in timpul mictiunii sau la examinare
chirurgical ( SUGAR), nu se realizeaza circumicizie inainte de reparatie!!
poate da infertilitate

Question 7

Enurezis-pana la ce varsta se rezolva? tratament

Answer 7

4 ani
alarme nocturne, restrictie lichidiana seara, educatie
imipramina, desmpresina

Question 8

Criptorhidia-tratament, complicatii

Answer 8

administrare exogena de hcg+orhidopexie (pana la 5 ani)

cancer testicular, infertilitate

Question 9

Valve uretrale posterioare-cauza+clinic

Answer 9

plierea anormala la nivelul uretrei prostatice DISTALE
jet urinar slab, dilatatie abdominala,ITU
dgn prenatal US

Question 10

Imag-valve uretrale

Answer 10

Eco-ingrosare pereti VU, hidronefroza+- megaureter

Cistouretrograma:dilatareea+ alungirea in timpul mictiunii a uretrei prostatice

Question 11

Tratament-valve uretrale

Answer 11

Ablatie cistoscopica transuretrala

diversiune anatomica=VEZICOSTOMA

Question 12

Unde mai apare FR neurofibromatoza?

Answer 12

Tumosa wilms+neuroblastomul