neurosurgery, urology, organ transplant: chapters 11-13 Flashcards
constant progressive severe headache, sometimes worse in the mornings
brain tumor
sudden loss of neuro function that come on without headache and resolve spontaneously with no neurologic sequela most common lesion
TIA
high grade stenosis of internal carotid or plaque at carotid bifurcation
workup for TIA
sonogram plus doppler
surgery (carotid endarterectomy) if lesion found in carotids or bifucation and have neuro sx
if stroke has been around for longer than __ hours then not amenable to revascularization
3
signs of stroke workup
image
treatment with time
CT scan to R/O infarcts that are too extensive and confirm no hemorrhage
-if neuro fnct returns ever = TIA
IV t-PA started within 90 mintues is best, can be done up to 3 hours of onset of sx
workup SAH and treat
CT then arteriorgram
clip in surgery
coiling in radiologic alt
most common sites of mets to brain
1/2 from lung
common are breast and melanoma too
while awaiting surgical removal of brain tumor what is used for increased ICP
high dose steroids
brain tumor location
inappropriate behavior, optic nerve atrophy, papilledma on other side of tumor ansomia
frotnal lobe
workup for suspected acromegaly
somatomedin C and pituitary MRI
most urgent thing in pituitary apoplexy
steroid replacement
what tumor produces loss of upper gaze and sunset eyes
pineal gland
brain tumor in child with cerebaellar sx
medulloblastoma
knee chest position in brain tumor of child
ependymoma
brain abscess dx
CT
several months after a crush injury there is constant burning and agonizing pain that doesn’t respond to analgesics what is it
dx
tx
sympathetic block is diagnostic
surgical sympathectomy is curative
horizontal lie of testes and cord not tender
treatment
testicular torsion
untwist and orchiopexy
urologic workup
sonogram for what
CT scan for what
Cystoscopy for what
sonogram: dilation and obstruction
CT for renal tumors
cystocsopy for bladder cancers
newborn boy not urinating during first day of life and dx and tx
posterior urethral valves
cath to empty
VCUG to dx
surgery with endoscope to fix
little girl who feels normal need to void and voids normally at appropriate intervals but she is also wet with urine all the time what is this and dx and tx
low implantation of a ureter
vaginoscopy and surgery
workup of hematuria
rule out cancer
CT scan then cystoscopy
RCC can invade where
renal vein and IVC
diagnosing cancer of bladder
CT scan then cystoscopy
treatment for cancer of bladder
surgery and intravesical BCG
