paediatric urology Flashcards
What are the Systemic presentations of paediatric urological problems
- Fever
- Vomiting
- Failure to thrive
- Anaemia
- Hypertension
- Renal failure
What are the local presentations of paediatric urological problems
- Pain
- Urine changes
- Abnormal voiding
- mass
- visible abnormalities
What is the presentation of an inguinal hernia
- Groin swelling
- Intermittent
What is the management of an inguinal hernia for someone <1 year, over 1 year and incarcerated hernia
- <1 year - urgent referral and repair
- > 1 year - elective referral and repair
- Incarcerated - reduce and repair on same admission
What is the presentation of a hydrocele
- Scrotal swelling
- Painless
- Bluish colour
What is cryptorchidism
- Undescended testes - any testes that cannot be manipulated into the bottom half of the scrotum
What are the indications for orchidopexy
- Fertility issues
- Malignancy
- torsion
- Cosmetic
What is the blue spot seen indicative of with unilateral significant testicular pain
Torsion appendix testes
What is the treatment of balanitis exrotica obliterans
Circumcision
What is the presentation of balantitis xerotica obliterans (BXO)
- Struggling to pass urine
- Non retractile foreskin
- Scarred foreskin with a narrow meatus
- Pruritis
-Whitish skin changes
What is hypospadias
Urethral meatus on the ventral aspect of the penis