Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Primary care > Pedi genitourinary > Flashcards

Pedi genitourinary Flashcards

1
Q

Hypospadias define

severity

A

congenital anomaly
uretheral opening abdormal on VENTRAL side

1st degree- glans or subcurona
2nd- penile shaft
3rd- scrotum perineum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Management hypospadias

A

surgical repair by 6 months (ESPECIALLY BEFORE 18 months)
outpatient
AVOID circumcision- used in surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cryptorchidism aka

A

undescended testes: does not descend by 4 months of age

-may be unilateral or bilateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most common congenital anomaly of genitourinary tract

A

cryptochordism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Exam cryptorchidism

A

empty scrotum poorly rugated scrotum, teste cannot be manipulated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most common location for undescended teste in order

A

1- external ring (suprascrotal)
2- inguinal canal
3- abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Complications of cryptochordism

A
  • inguinal hernia
  • testicular torsion
  • testicular trauma (compression against pubic bone)
  • malignancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Retractile testes

A

descended but retracts out of scrotum, most will descend spontaneously by 6 months
-look for hypospadias and or/cryptochordism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Retractile testes occurence

A

30% of premature males; LEFT-side predominane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Orchiopexy

A

referral to urologist if not descended by 6-12 months of age

testicle sutured in place

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Inguinal hernia differential

A
  • hydrocele

- testicular torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define
hernia-
incarceration-
strangulation-

A

hernia- protrusion of portion of organ or tissue through opening in wall
incarceration- hernia cannot be reduced by manipulation (may be strangulated) ER- uncomfortable, crying
strangulation- vascular compromise of incacercerated hernia, can occur within 2 hours and leads to necrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Inguinal hernia
higher incidence in?
most common?

A

higher incidence in premature

most commonly performed surgical procedure in children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Inguinal hernia presentation

A
  • intermittent bulge in groin (possibly at times at straining, crying)
  • asymptomatic, no pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Incarcerated mass presentation

A

irritable crying, vomiting, abdominal distention

red inflamed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hydrocele define

A

fluid filled collection occurs along testes or ovary

  • no mass palpated
  • usually scrotal swelling
  • no pain
  • DOES NOT CHANGE in size or shape with crying or straining
  • transilluminate
  • IRREDUCIBLE
17
Q

Testicular torsion presentation

A
  • pain-vomiting
  • swollen tender
  • retracted
  • cremasteric reflex absent on affected side (stroke inner thigh- should pull up teste)
18
Q

Treatment
inguinal hernia
hydrocele

A

hernia: surgical repair (HERNIORRHAPY)
hydrocele: resolves spontaneously by 1 yr of age. no surgery.

19
Q

Urinary tract infection presentation in young child

A

irritability lack of appetite fever difficult to console

may only have fever esp

20
Q

School age children UTI

A

fever, dysuria, urgency, frequency, incontinence, macroscopic hematuria, abdominal pain

fever chills flank pain (pyelonephritis)

females- dysuria, no fever- bubble baths

21
Q

UTI prevalence
boys
girls

A

boys- most common

22
Q

Imaging and indication UTI

A

RB U/S age 2-24 months with first febrile UTI

23
Q

Imaging and indication for VUR

A
  • 2 or more febrile UTIs
  • children of any age with a first febrile UTI

delay until second children 2-24 months unless atypical or complex (hydronephrosis, scarring)

24
Q

Imaging done for UTI to

A

reduce risk of subsequent renal damage

25
Q

Grade 2/3 VUR

Grade 4/5 VUR

A

2/3- abx

4/5- surgery

26
Q

UTI urine diagnosis

A

pyuria and significant bacteriuria necessary
growth >100,000; catheterized >50,000 E.coli most common (klebsiella, proteus, enterobacter)

catheter, suprapubic aspiration, clean catch for toilet trained

27
Q

UTI treatment

A

Early aggressive antibiotic within 72 hours

Empiric therapy immediately with suspected UTI and positive urinalysis

28
Q 
UTI medication choices 
1st line 
\_\_\_\_ should not be used 
50% resistant to\_\_\_\_
Other
A

Third generation cephalosporin- Cefixime, cefdinir, ceftibuten)
Cipro should not be used (affects osteocytes)
50% resistant to amoxicillin- augmentin may be used
Other: bactrim

29
Q

Repeat urine?

A

not necessary

30
Q

Testicular cancer
most common cancer in males age __ to ___

Presentation

A

15-35 one of most curable

presentation: mass, with or without tenderness, testicular firmness, scrotal heaviness

31
Q

Testicular cancer screening

A

AAFP do not recommend screening in asymptomatic males or SE

Primary care (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions