OnlineMedEd: Surgery: Subspecialty - "Uro Misc" Flashcards
The prostate will feel __________ in BPH.
smooth, enlarged, and rubbery
______________ is the most prostate-specific alpha blocker.
Tamsulosin (Flomax)
__________ is best for long-term BPH treatment.
Finasteride (the 5-alpha-reductase inhibitor)
What treatment is usually reserved for those with obstructive uropathy?
TURP
The first diagnostic for erectile dysfunction is ____________.
nocturnal tumescence
If the guy has erections at night, then it is psychologic. If he doesn’t, then it is organic.
You cannot give phosphodiesterase inhibitors to those taking _____________.
nitrates
This combination causes an unsafe drop in blood pressure.
Penile prosthesis and pumps are usually reserved for _______________.
those with neurologic injury
The first-line treatment for organic erectile dysfunction is ______________.
sildenafil or tadalafil
Describe the physical exam of testicular torsion.
- Horizontal lie of testicle
- Pain on elevation
- Absent cremasteric reflex
Diagnose testicular torsion with ____________.
Doppler US
During the surgery, what is used to evaluate reperfusion of the testicle?
Whether the testicle turns pink or remains dusky
How is testicular torsion treated?
Bilateral orchiopexy (because the healthy testicle is more likely to develop torsion)
How does the physical exam of epididymitis differ from that of torsion?
In epididymitis, the testicle has a vertical lie and the pain goes away with elevation
Prostatitis looks exactly like pyelonephritis except for three things: _______________.
no CVA tenderness, no casts in urine, and boggy prostate on exam
If a UA and UCx is negative in a case of prostatitis, then ______________.
it is likely inflammatory so NSAIDs are all that is needed
