Pediatrics: GU Conditions Flashcards
Patient presents with:
foreskin that can’t be returned to normal position
Paraphimosis
This condition is caused by:
forceful retraction of foreskin
infection
inflammation
surg. procedures
Trauma
Paraphimosis
An inability to retract the foreskin…
phimosis
How is phimosis treated?
stretching
Topical CS
Circumcision
What is more emergent and why?
Paraphimosis or Phimosis
Paraphimosis leads to ischemia
Patient presents with:
ventral displacement of the urethra
What is this called?
Hypospadias
An abnormal penile curvature is called what?
What condition is it often associated with?
Chordee
Assoc. w/ hypospadias
Dorsal Displacement of the urethra is called…
epispadias
This condition can increase risk for:
Testicular Torsion
Subfertility
Testicular CA
Cryptorchidism
What dx test is confirmatory for testicular torsion?
Testicular US/Doppler
What surgery is indicated to correct testicular torsion?
orchiopexy
What is the most common causative bacteria for UTI?
E. Coli
A patient presents with:
Dysuria
Hematuria
You suspect UTI. What test is 1st line to confirm?
Renal Bladder US (RBUS)
This condition is characterized by retrograde flow of urine from bladder to upper urinary tract….
vesicoureteral reflux
This condition is treated via the following options:
Surveillance
Prophylactic ABX
Surgical Intervention
Vesicoureteral Reflux
What medication can be used to treat nocturnal enuresis?
desmopressin (DDAVP)
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?
Post-Strep Glomerulonephritis
ASO/Streptozyme or Complement
A patient presents with:
Abd. pain
Rash on LE
Hematuria.
What are you suspicious of?
HSP
Patient presents with:
Bloody diarrhea
Hemolytic anemia
Thrombocytopenia
AKI
What should you be suspicious of?
HUS
This condition is characterized by:
Proteinuria
Hypoalbuminemia
Edema
Hyperlipidemia
Nephrotic Syndrome
Epispadias can occur with what?
Bladder Exstrophy
MC area for cryptorchidism…
suprascrotal
This condition has the following test results:
Absent cremasteric reflex
Negative Prehn Sign
Testicular torsion
What is the tx of choice for pediatric UTI?
Cephalosporin x 3-10 days
What findings on physical exam would be indicative of UTI?
Fever of unkown origin
(+) CVA Tenderness
TTP on abdomen
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
VCUG
What diagnostic test is useful to diagnose vesicoureteral reflux?
VCUG
Renal scintigraphy is useful to evaluate for…
pylonephritis, renal scarring
What condition is horseshoe kidney associated with?
VUR
What is the indicated intervention for horseshoe kidney?
none
UTI
Kidney Stone
Trauma
Glomerular Disease…
These can all cause…
hematuria
What triad is useful in identifying Post-Strep Glomerulonephritis?
Throat
Bloat
Coke
A patient presents with:
Edema
Coca Cola Colored Urine
Previous GAS infx.
What tests would confirm your suspected diagnosis?
Post-Strep Glomerulonephritis
Urine Microscopy: + RBC Casts
Throat/Skin Culture
ASO Titer
Streptozyme
Complement
How is post-strep glomerulonephritis treated?
supportive care
A patient presents with:
Proteinuria (foamy urine)
Hypoalbuminema
Facial Edema
Hyperlipidemia
What are you concerned for?
Nephrotic Syndrome
