gu

Question 1

gradual unilateral scrotal pain, swelling, erythema, may have UTI sx, may be after acute strain
Phrens sign is + (relief w/ lifting)
could be 1 of 2 things:

Answer 1

epididymitis

orchitis

Question 2

abrupt unilateral scrotal pain, swelling, erythema
horizontal lie
Phrens sign is - (no relief w lifting)

Answer 2

testicular torsion

Question 3

gold standard to dx testicular torsion

Answer 3

radionuclide scan

could also do emergency exploration

Question 4

for an undescended testicle, when do you do an orchiopexy

Answer 4

6mo-1y

Question 5

pt has proteinuria, hypoalbuminemia, hyperlipidemia and edema (esp periorbital). suspect?

Answer 5

nephrotic syndrome

Question 6

how do you tx nephrotic syndrome in kids (minimal change dz)

Answer 6

prednisone

Question 7

what is the gold standard dx for nephrotic syndrome

Answer 7

24 urine w protein > 3.5

Question 8

oval fat bodies or maltese cross shape in urine

Answer 8

nephrotic syndrome

Question 9

“cola” urine

Answer 9

AGN aka nephritic syndrome

iga nephropathy, berger dz, goodpastures syndrome

Question 10

UA shows rbc casts

Answer 10

AGN

Question 11

muddy brown casts

Answer 11

ATN

Question 12

wbc casts

Answer 12

AIN

Question 13

BUN:Cr > 20:1 suspect?

Answer 13

prerenal causes

Question 14

which has concentrated urine: SIADH or DI?

Answer 14

SIADH

Question 15

does SIADH have hyponatremia or hyper?

Answer 15

hypo

Question 16

does DI have hyponatremia or hyper?

Answer 16

hyper

Question 17

when do you do SWL for a kidney stone

Answer 17

if >7mm (maybe 5-7?)

Question 18

when do you do percutaneous nephrolithotomy for a kidney stone

Answer 18

if >10mm