Peds Uro Flashcards
3 times to expect undescended testes
- premature
- scrotal assymetry
- testicle not inscrotum at birth
what is test for undescended testes
Physical
NOT ULTRASOUND
what is first thing to think when have a boy with bilateral impalpable gonads
girl with CAH
what is most important thing to think about in acute scrotum
testicular torsion
2 signs of test. torsion
- acute onset
2. neg. cremasteric reflex
what to do for suspected torstion
high liklihood - surgical exploaration
uncertain - US - look for absent flow
2 things to be sure about with foreskins
- not retract forcefully
2. replace foreskin after catheterizing
what is US sign for posterior urethral valves
key hole sign
what to do in neonate suspected of having posterior urethral valves
cath
what to do for enuresis
most spontaeously resolve
- no invasive tests if there is a normal Phx