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Pediatrics II > Pediatrics: GU Conditions > Flashcards

Pediatrics: GU Conditions Flashcards

1
Q

Patient presents with:

foreskin that can’t be returned to normal position

A

Paraphimosis

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2
Q

This condition is caused by:

forceful retraction of foreskin

infection

inflammation

surg. procedures

Trauma

A

Paraphimosis

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3
Q

An inability to retract the foreskin…

A

phimosis

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4
Q

How is phimosis treated?

A

stretching

Topical CS

Circumcision

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5
Q

What is more emergent and why?

Paraphimosis or Phimosis

A

Paraphimosis leads to ischemia

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6
Q

Patient presents with:

ventral displacement of the urethra

What is this called?

A

Hypospadias

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7
Q

An abnormal penile curvature is called what?

What condition is it often associated with?

A

Chordee

Assoc. w/ hypospadias

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8
Q

Dorsal Displacement of the urethra is called…

A

epispadias

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9
Q

This condition can increase risk for:

Testicular Torsion

Subfertility

Testicular CA

A

Cryptorchidism

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10
Q

What dx test is confirmatory for testicular torsion?

A

Testicular US/Doppler

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11
Q

What surgery is indicated to correct testicular torsion?

A

orchiopexy

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12
Q

What is the most common causative bacteria for UTI?

A

E. Coli

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13
Q

A patient presents with:

Dysuria
Hematuria

You suspect UTI. What test is 1st line to confirm?

A

Renal Bladder US (RBUS)

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14
Q

This condition is characterized by retrograde flow of urine from bladder to upper urinary tract….

A

vesicoureteral reflux

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15
Q

This condition is treated via the following options:

Surveillance

Prophylactic ABX

Surgical Intervention

A

Vesicoureteral Reflux

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16
Q

What medication can be used to treat nocturnal enuresis?

A

desmopressin (DDAVP)

17
Q

A patient presents with:

Coca Cola Urine

Decreased Renal Function

Hx of Strep. Throat

What are you suspicious of, and what tests would help confirm?

A

Post-Strep Glomerulonephritis

ASO/Streptozyme or Complement

18
Q

A patient presents with:

Abd. pain

Rash on LE

Hematuria.

What are you suspicious of?

A

HSP

19
Q

Patient presents with:

Bloody diarrhea

Hemolytic anemia

Thrombocytopenia

AKI

What should you be suspicious of?

A

HUS

20
Q

This condition is characterized by:

Proteinuria

Hypoalbuminemia

Edema

Hyperlipidemia

A

Nephrotic Syndrome

21
Q

Epispadias can occur with what?

A

Bladder Exstrophy

22
Q

MC area for cryptorchidism…

A

suprascrotal

23
Q

This condition has the following test results:

Absent cremasteric reflex

Negative Prehn Sign

A

Testicular torsion

24
Q

What is the tx of choice for pediatric UTI?

A

Cephalosporin x 3-10 days

25
Q

What findings on physical exam would be indicative of UTI?

A

Fever of unkown origin

(+) CVA Tenderness

TTP on abdomen

26
Q

What test is indicated in patients with the following:

2+ UTIs

1st Febrile UTI with: 
RBUS anomaly
Temp 102.2+
non E.Coli
poor growth
HTN
A

VCUG

27
Q

What diagnostic test is useful to diagnose vesicoureteral reflux?

A

VCUG

28
Q

Renal scintigraphy is useful to evaluate for…

A

pylonephritis, renal scarring

29
Q

What condition is horseshoe kidney associated with?

A

VUR

30
Q

What is the indicated intervention for horseshoe kidney?

A

none

31
Q

UTI
Kidney Stone
Trauma
Glomerular Disease…

These can all cause…

A

hematuria

32
Q

What triad is useful in identifying Post-Strep Glomerulonephritis?

A

Throat

Bloat

Coke

33
Q

A patient presents with:

Edema
Coca Cola Colored Urine
Previous GAS infx.

What tests would confirm your suspected diagnosis?

A

Post-Strep Glomerulonephritis

Urine Microscopy: + RBC Casts

Throat/Skin Culture
ASO Titer
Streptozyme
Complement

34
Q

How is post-strep glomerulonephritis treated?

A

supportive care

35
Q

A patient presents with:

Proteinuria (foamy urine)
Hypoalbuminema
Facial Edema
Hyperlipidemia

What are you concerned for?

A

Nephrotic Syndrome

Pediatrics II (5 decks)

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