GU Flashcards
UTI in kidney
pylonephritis
UTI in bladder
cystitis
culprits of sepsis
S. Aureus, E. Coli, Strep
local infection overwhelms the body’s defense mechanisms - invading infection leaves the original site
sepsis
Males: undescended testes, short penis, glans flattened. Females: split clitoris. Surgical repair - moist plastic wrap
bladder exstrophy
Genetic anomaly. Epi (top) dorsal opening or hypo (underneath) ventral opening
hypospadias/epispadias
reflux of urine. frequent UTI, VCUG (voiding cystourethrogram which is flooding bladder. To fix you need bladder training or surgical correction
vesicoureteral reflux
pexy means
adhering
undescended testes
cryptorchidism
corrective surgery for cryptorchidism
orchiopexy
spontaneous testicular rotation. EMERGENCY
testicular torsion
what is surgery for testicular torsion
orchiopexy both sides
scrotal and/or inguinal swelling. peritoneal fluid in scrotum
hydrocele
sscrotal and/or inguinal swelling, abdominal contents in scrotum, incarceration risk
hernia (inguinal)
foreskin over penis
phimosis
phimosis
foreskin over penis
swelling in the kidney
hydronephrosis
inflammation and leads to obstruction/scarring - possible renal failure
nephritis/hydronephrosis
tea colored urine and sudden onset
pediatric acute glomerulonephritis
cause of acute glomerulonephritis
group A beta strep
hematuria, HTN, edema. Dmamae to glomerulus so RBC leak out. Raise fluid status, raised BP, H and H down, need ABX
acute glomerulonephritis
frothy urine means
too much PROTEIN and ,lipids, edema
Slow onset, symptoms not recognized, glomerular membrane permeable to albumin and protein
nephrotic syndrome
what do you prescribe for nephrotic syndrome
steriods
common cause of ARF. E coli. Preceding event is severe GI issues
hemolytic uremic syndrome
hematuria and preotenuria - possible dialysis
hemolytic uremic syndrome
TRIAD: hemolytic anemia, thrombocytopenia, ARF
hemolytic uremic syndrome
will not resolve. ends in RF
polycystic kidney disease
Genetic. Forms cysts. End stage renal disease and liver dysfunction. Education and support
polycystic kidney disease
azotemia
nitrogen compounds in the blood
oliguria
scant urine
anuria
no urine
uremia
urea in the blood
acute renal failure happens?
injury or assault
chronic renal failure happens?
progressive decline
cannot excrete wastes or concentrate urine
renal failure
S/S - dark urine, hematuria, edema, headache, HTN, crackles. Hypocalcemia, hyponatremia, hyperkalemia
Acute renal failure. Outcome depends on the assault. Treat underlying cause
S/S: Polyuria, anemia, metabolic disturbance, bone stability, body shut down, uremic frost (urea crystals on skin)
Chronic renal failure
Acute Renal Failure S/S
S/S - dark urine, hematuria, edema, headache, HTN, crackles. Hypocalcemia, hyponatremia, hyperkalemia
Chronic renal failure S/S
S/S: Polyuria, anemia, metabolic disturbance, bone stability, body shut down, uremic frost (urea crystals on skin)
muscle involvement
calcium
CNS function
sodium
Cardiac/ muscle function
Potassium
involuntary voiding - not regression
enuresis (more boys)
GU tests
VCUG, US, DIP (dipstrip), labs, IVP (intravenous pyelegram
anticholinergic - antimuscarinic. Urinary antispasmodic
oxybutynin (ditropan)
Uses overactive bladder, post op, neurogenic. SE: drowsiness, blurred vision
oxybutynin (ditropan)
anti -inflammatory, immunosuppressant
prednisone (not prednisolone)
SE: HTN, hyperglycemia, increase weight, increase appetite, growth suppression, decreased bone density
prednisone
taper off
prednisone
-prils and -pines
antihypertensives
furosemide (Lasix)
diuretics