Genitourinary Flashcards
Lower urinary tract obstructive sx, increased PSA, Alpha blockers
Benigns prostatic hyperplasia (BPH)
Surgery by 6 months, risk of CA and infertility
Cryptorchidism
Self resolves by 2 y/o
Hydrocele
Bag of worms, left side more common, right side more concerning
Varicocele
Sneezing, coughing, laughing, kegel exercise, pessaries and surgery
Stress incontinence
Overactivity or detrusor muscle, kegel exercise, oxybutynin
Urge incontinence
Calcium oxylate, >10 mm = lithotripsy or uteroscopy, flank pain and hematuria, thiazide for prevention
Nephrolithiasis
Skin retracted behind gland, emergency
Paraphimosis
Bell clapper deformity, absent prehn sign and cremasteric reflex, surgery
Testicular torsion
Cystitis + fever + CVA tenderness
Pyelonephritis
Positive prehn sign
Epididymitis
Mumps
orchitis
Painless hematuria, >40 y/o
bladder carcinoma
No routine screening
Prostate CA
Abd mass, hematuria, flank pain, nephrectomy
Renal cell carcinoma