Genitourinary Flashcards
Muddy brown sediment in the urine should make you think of what diagnosis?
Acute tubular necrosis
A 3 year old boy presents with hematuria and a painless palpable abdominal mass. What diagnosis should you be thinking of?
Wilms tumor
What might you feel on digital rectal exam of a patient with prostate cancer?
Enlarged prostate, hard nodules within the prostate
An involuntary loss of urine during coughing or laughing is what type of incontinence?
Stress incontinence
What is the most common organism responsible for prostatitis?
E. coli
What area of the prostate is affected by BPH?
The transitional zone
Will epididymitis feel better with scrotal elevation?
Yes
List one major risk factor for bladder cancer?
Smoking
What is the condition where the urethral meatus is not at the tip of the penis?
Hypospadias
What age range is typically associated with testicular torsion?
10-20 years old
What is the most common bladder cancer?
Transitional cell cancer
A PSA above what level should start to make you concerned?
> 4.0
Tenderness at the costovertebral angle should make you think of what diagnosis?
Pyelonephritis
A prostate biopsy consists of how many samples?
6 to 12
Feeling a bag of worms in the scrotum should make you think of what diagnosis?
Varicocele
List three possible treatments for stress incontinence in women.
Kegels, estrogen therapy, surgical placement of a urethral sling
An ABG shows a pH of 7.2, a bicarb of 25 and a PCO2 of 50. Is this respiratory or metabolic acidosis?
Respiratory - CO2 is elevated
What is the first line antibiotic treatment for cystitis?
Bactrim
What is the most accurate way to diagnose urethritis?
Urine PCR
List three possible causes of prerenal renal failure.
CHF, severe dehydration, hemorrhage
What is the treatment for epididymitis?
Ceftriaxone and doxycycline
Maltese crosses in the urine should make you think of what diagnosis?
Nephrotic syndrome
What is the name of the condition that involves fibrous scar tissue in the penis causing a curvature of the erect penis?
Peyronie’s disease
At what age do you begin screening patients for prostate cancer? What two tests are used?
At age 50 an annual digital rectal exam and a PSA are recommended
Both testicles should be descended by what age?
3 months
A kidney stone of less than what size will likely pass on its own?
Less than 5 mm