GU Flashcards

1
Q

UTI in kidney

A

pylonephritis

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2
Q

UTI in bladder

A

cystitis

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3
Q

culprits of sepsis

A

S. Aureus, E. Coli, Strep

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4
Q

local infection overwhelms the body’s defense mechanisms - invading infection leaves the original site

A

sepsis

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5
Q

Males: undescended testes, short penis, glans flattened. Females: split clitoris. Surgical repair - moist plastic wrap

A

bladder exstrophy

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6
Q

Genetic anomaly. Epi (top) dorsal opening or hypo (underneath) ventral opening

A

hypospadias/epispadias

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7
Q

reflux of urine. frequent UTI, VCUG (voiding cystourethrogram which is flooding bladder. To fix you need bladder training or surgical correction

A

vesicoureteral reflux

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8
Q

pexy means

A

adhering

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9
Q

undescended testes

A

cryptorchidism

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10
Q

corrective surgery for cryptorchidism

A

orchiopexy

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11
Q

spontaneous testicular rotation. EMERGENCY

A

testicular torsion

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12
Q

what is surgery for testicular torsion

A

orchiopexy both sides

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13
Q

scrotal and/or inguinal swelling. peritoneal fluid in scrotum

A

hydrocele

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14
Q

sscrotal and/or inguinal swelling, abdominal contents in scrotum, incarceration risk

A

hernia (inguinal)

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15
Q

foreskin over penis

A

phimosis

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16
Q

phimosis

A

foreskin over penis

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17
Q

swelling in the kidney

A

hydronephrosis

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18
Q

inflammation and leads to obstruction/scarring - possible renal failure

A

nephritis/hydronephrosis

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19
Q

tea colored urine and sudden onset

A

pediatric acute glomerulonephritis

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20
Q

cause of acute glomerulonephritis

A

group A beta strep

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21
Q

hematuria, HTN, edema. Dmamae to glomerulus so RBC leak out. Raise fluid status, raised BP, H and H down, need ABX

A

acute glomerulonephritis

22
Q

frothy urine means

A

too much PROTEIN and ,lipids, edema

23
Q

Slow onset, symptoms not recognized, glomerular membrane permeable to albumin and protein

A

nephrotic syndrome

24
Q

what do you prescribe for nephrotic syndrome

25
common cause of ARF. E coli. Preceding event is severe GI issues
hemolytic uremic syndrome
26
hematuria and preotenuria - possible dialysis
hemolytic uremic syndrome
27
TRIAD: hemolytic anemia, thrombocytopenia, ARF
hemolytic uremic syndrome
28
will not resolve. ends in RF
polycystic kidney disease
29
Genetic. Forms cysts. End stage renal disease and liver dysfunction. Education and support
polycystic kidney disease
30
azotemia
nitrogen compounds in the blood
31
oliguria
scant urine
32
anuria
no urine
33
uremia
urea in the blood
34
acute renal failure happens?
injury or assault
35
chronic renal failure happens?
progressive decline
36
cannot excrete wastes or concentrate urine
renal failure
37
S/S - dark urine, hematuria, edema, headache, HTN, crackles. Hypocalcemia, hyponatremia, hyperkalemia
Acute renal failure. Outcome depends on the assault. Treat underlying cause
38
S/S: Polyuria, anemia, metabolic disturbance, bone stability, body shut down, uremic frost (urea crystals on skin)
Chronic renal failure
39
Acute Renal Failure S/S
S/S - dark urine, hematuria, edema, headache, HTN, crackles. Hypocalcemia, hyponatremia, hyperkalemia
40
Chronic renal failure S/S
S/S: Polyuria, anemia, metabolic disturbance, bone stability, body shut down, uremic frost (urea crystals on skin)
41
muscle involvement
calcium
42
CNS function
sodium
43
Cardiac/ muscle function
Potassium
44
involuntary voiding - not regression
enuresis (more boys)
45
GU tests
VCUG, US, DIP (dipstrip), labs, IVP (intravenous pyelegram
46
anticholinergic - antimuscarinic. Urinary antispasmodic
oxybutynin (ditropan)
47
Uses overactive bladder, post op, neurogenic. SE: drowsiness, blurred vision
oxybutynin (ditropan)
48
anti -inflammatory, immunosuppressant
prednisone (not prednisolone)
49
SE: HTN, hyperglycemia, increase weight, increase appetite, growth suppression, decreased bone density
prednisone
50
taper off
prednisone
51
-prils and -pines
antihypertensives
52
furosemide (Lasix)
diuretics