Paediatric Urology Flashcards

1
Q

What are the systemic manifestation of urological problems in children?

A
Fever 
Vomiting 
Failure to thrive 
Anaemia 
Hypertension 
Renal failure
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2
Q

What are the local manifestations of urological problems in children?

A
Pain 
Changes in urine 
Abnormal voiding 
Mass 
Visible abnormalities
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3
Q

What is the management for hernias?

A

<1 year (urgent referral and repair)
>1 year (elective referral and repair)
Incrcerated (Reduce and repair on same admission)

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4
Q

What is a hydrocele?

A

Scrotal swelling

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5
Q

What are the symptoms of hydrocele?

A

Painless
Increases with crying, straining, evening g
Bluish colour

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6
Q

What are the management of hydrocele?

A

Conservative until 5 yrs

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7
Q

What are cryptorchidism?

A

Any testis that cannot be manipulated into the bottom half of the scrotum

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8
Q

What are the indications for orchidopexy?

A

Fertility
Trauma
Torsion
Cosmetic

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9
Q

What are the possibilities outcomes of an impalpable testis?

A

Atrophic
Intra-abdominal
Absent

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10
Q

What are the indications for circumcision?

A

Balanitis Xerotica Obliterans (BXO)
Balanoprothitis
Religious
UTI

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11
Q

What are the advantages of circumcision?

A

Possible UTI prevention
Reduces penile cancer
Sexual enhancement

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12
Q

What are the complications of circumcision?

A
Painful
Bleeding 
Meatal stenosis 
Fistula 
Cosmetic
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13
Q

What is the differential diagnosis of an acute scrotum?

A

Torsion testis
Torsion appendix testes
Epididymitis

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14
Q

What are the possible causes of antenatal hydronephrosis?

A
Vesico-ureteric reflux (VUR) 
VUJ obstruction 
Posterior urethral valves 
Multicystic kidneys 
Duplication anomalies 
PUJ obstruction (pelvi-ureteric junction)
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15
Q

What is the postnatal management of PUJ obstruction?

A

Postnatal USS
Renography
Surgery

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16
Q

What are the advantages of antenatal ultrasound?

A

Permits early detection of renal pathology

Early intervention improves overall outcomes

17
Q

What are the disadvantages of antenatal ultrasound?

A

No evidence base for criteria for intervention
No consensus for early discharge
Increased parental anxiety

18
Q

Why should UTIs be investigated?

A

Prevent renal scarring (reflux nephropathy and chronic renal failure)
Prevent hypertension

19
Q

What is the criteria for UTI?

A

Pure growth bacteria >10^5
Pyuria
Systemic upset (Fever, vomiting)

20
Q

What can be used to assess UTI?

A

History and examination
USS
Renography
Micturating Cystourethrogram (MCUG)

21
Q

What is the management for VUR?

A

Conservative (voiding advice, constipation, fluids)
Antibiotic prophylaxis (trimethoprim)
Submucosal teflon injection
Ureteric reimplantation

22
Q

What is hypospadias?

A

Urethral meatus on the ventral aspect of the penis

23
Q

What is included in the assessment of hypospadias?

A
Site od meatus 
Chordee 
Deficient prepuce 
Rotation 
Scrotal abnormality