GU Flashcards
Most common cause of pain in testicular malignancy
Intratumoral hemorrhage
Treat PID
Ceftriaxone once and
Doxy BID x14 days
Sx of ovarian torsion
One ovary larger than other; edema usually due to venous congestion
Decreased blood flow unlikely due to dual blood supply
(Malignant masses don’t tend to torse: they adhere to wall)
Balanitis
Inflammation of glans penis
Usually candida, can also be STD source (foul smelling)
Sheehan syndrome
Postpartum ptiuitary infarct
Inability to lactate, cold, lethargy, weight loss
Labs show adrenal insufficiency and hypogonadism (Low GH, prolactin, TSH, ACTH, FSH and LH)
Pain with menstrual cycles
Endometriosis (stop forgetting it exists!)
Can cause dyspareunia
Prerenal AKI
BUN/creat >20
FENa <1%
Vulvovaginitis
Prepubertal girls at >risk
Purulent discharge
Hygiene changes and amoxicillin
PID criteria
Lower abd pain in at risk population
Uterine OR adnexal OR cervical motion tenderness
Ovarian torsion on ultrasound
Most common: ovarian enlargement
Most diagnostic: whirlpool sign
First line for BPH
Tamsulosin
Alpha antagonist
Placenta previa
Painless vaginal bleeding
Usually 3rd trimester
Dx: US (NO digital exam after 20wks until ruled out)
Risk factors: previous c-section, >40, multiparity, preterm labor
Hyponatremia sx and treatment
<135 HA, nausea confusion, ataxia, areflexia
<120 vomiting, SZ, coma, respiratory arrest -> brain stem herniation
Acute: 3% if acute and <120
Chronic: max 6meq/24hrs
Hypernatremia sx
N/V, lethargy, weakness, polyuria, hypotension
Acute: 1mEq/L/hr
Chronic: 0.5mEq/L/hr
Hypokalemia
HTN, hyporeflexia, cramps, parasthesis, paralysis,
Mg probably also low
