Pediatric Urology Flashcards
what happens in vesicoureteral reflux?
retrograde flow of urine
what does vesicoureteral reflux predispose a child to?
pyelonephritis and scarring
longterm vesicoureteral reflux leads to what in the kidney?
scarring
what is histo of scarring in vesicoureteral reflux?
lots of fibrosis
what can happen to vesicoureteral reflux but doesnt always occur?
it can resolve on its own
what should you give prophylactically in vesicoureteral reflux?
antibiotics
why give abx in vesicoureteral reflux?
you want to keep the urine sterile and avoid any infxns since there is reflux
does sterile reflux cause scarring?
NO
if medications dont work or it doesnt resolve, what can you do for vesicoureteral reflux?
surgery
how soon do balls die if torsion?
12-24 hours
what type of lie is probable for torsion?
called a horizontal lie where epididymis is lying on top of the testicle
where is epididymis usually located on a testicle?
on the posterior surface against the scrotum
what is presentation of torsion?
severe pain with nausea and vomiting
what does a posterior urethral valve lead to?
severe vesicoureteral reflux
what does a posterior urethral valve obstruct?
bladder and kidney emptying
