Peds Urology Flashcards
1
Q
Hernia- Eti
A
- Boys > girls
- Premature
- May present at any age
2
Q
Hernia- Sx
A
- Painless inguinal swelling
- Retracts
- Ingunal fullness when coughing
- Silk glove sign
3
Q
Hernia- Dx
A
- Hx
- Doesn’t transilluminate
4
Q
Hernia- Tx
A
- Manual reduction
- Incarceration = surg
5
Q
Cryptorchidism- Eti
A
- Undescended testes
- Affects 2-4%
6
Q
Cryptorchidism- Sx
A
- Absence of testes in scrotum
- Lead to infertility & malignancy later in life
- May spontaneously descend up to 1 year
7
Q
Cryptorchidism- Dx
A
- LH, FSH, testosterone to determine if present
8
Q
Cryptorchidism- Tx
A
- Surgical orchidoplexy
9
Q
Hypospadias- Eti/ Sx
A
- Urethral meatus ventral , shaft or penoscrotal jxn
- Do not circumsize
- Surgical repair
10
Q
Epispadias- Eti
A
- Meatus in wrong place with bladder exstrophy
- Marked dorsiflexion of penis
- Correct curvature & reconstruct
11
Q
Acute scrotum- Eto
A
- Torision, epididmitis, incarceration, trauma
12
Q
Acute scrotum- Sx
A
- Testicular pain & swelling
- Incarcerated = bowel sounds in scrotum
13
Q
Acute scrotum- Dx
A
Don’t miss torsion
- Check cremasteric reflex
14
Q
Varicocele- Eti
A
- Incompetent testicular vein
- 90% left sided
- Found in 15% adolescents
- Dragging scrotal sensation
- Bag of worms
15
Q
Varicocele- Tx
A
- Varcocelectomy and ligation
