pee Flashcards

1
Q

relationship of bladder to peritoneum

A

extraperitoneal

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2
Q

retropubic space aka

A

space of Retzius

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3
Q

area posterior to bladder in a male is called __ recess

A

retrovesical recess

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4
Q

pouch of Douglas aka

A

PCDS
recto-uterine pouch

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5
Q

ACDS aka

A

vesico-uterine pouch

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6
Q

__ of bladder related to the urachus

A

apex

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7
Q

__ of bladder related to urethra

A

neck

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8
Q

__ of bladder related to cervix in females

A

angle

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9
Q

hematoma or fluid in space of retzius can displace the bladder __

A

posteriorly

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10
Q

bladder is lined by __

A

transitional epithelium
(folds/rugae when empty)

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11
Q

normal thickness of bladder wall

A

3 mm when full
6 mm when empty

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12
Q

smooth triangular region of the internal urinary bladder called the

A

trigone

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13
Q

__ is formed by 2 ureteral orifices and internal urethral orifice

A

trigone

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14
Q

if no urine jet is seen after __ minutes, ureter is likely obstructed

A

15 min

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15
Q

bladder develops from __

A

cloaca

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16
Q

allantois becomes __

A

urachus

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17
Q

extension from umbilicus to apex of bladder

A

urachus

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18
Q

post partum, urachus becomes atretic fibrous cord called the __

A

median umbilical ligament

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19
Q

urachal anomalies

A

persistent urachus (pee from belly button)

urachal sinus

urachal diverticulum

urachal cyst

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20
Q

why do we care about the urachus

A

potential site for TCC

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21
Q

prolapse and cystic dilatation of the terminal end of the ureter into the bladder lumen

A

ureterocele

can block ureter

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22
Q

ectopic ureterocele often associated with

A

complete duplication

involves ureter that drains the upper pole moity

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23
Q

ureterocele demographic

A

most common in females

10% bilat

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24
Q

congenital dilatation of ureter WITHOUT demonstrable cause

A

congenital megaureter

often associated with megacalyces

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25
Q

congenital megaureter demographic

A

more common in males

more common to the left

looks like hydrosalpinx

26
Q

inflammation of the bladder

A

cystitis

27
Q

cause of cystitis

A

bacterial infection

common

more common in females

28
Q

length of female urethra vs male

A

4cm female
20cm male

29
Q

increased frequency, dysuria, lower abd pain

A

likely cystitis

30
Q

sono features of acute cystitis

A

normal - tender
diffuse or focal wall thickening (mucosa)
internal echoes

31
Q

technique to use with bladder sludge or stone

A

turn pt to show movement

think of bladder like a GB

32
Q

which type of cystitis would you see intramural air

A

emphysematous

(DM)

33
Q

fibrous, echogenic wall irregularity in bladder

A

chronic cystitis

34
Q

which artifact can mimic sludge in bladder

A

beam width artifact (slice thickness)

reverberation

side lobe

35
Q

air in the lumen of bladder??

A

may be due to intervention, trauma, or fistula

36
Q

sono feature of blood clot/ hemorrhage in bladder lumen

A

may be mobile - turn pt

may adhere to wall and mimic tumour

use Doppler

37
Q

cause of bladder calculi

A

urinary stasis

existing nudis (suture, staple, stent, foley)

38
Q

autosomal recessive disease causing excessing cystine in urine

A

cystinuria

formation of stones in kd, ureter, and bladder

**amino acid

can be star shaped +++ twinkle

39
Q

sterile gel used to treat vesicoreteral reflux (adj to UVJ)

A

deflux procedure

puts extrinsic pressure on UVJ, reducing size of opening and preventing urine from flowing backward into ureter

40
Q

cystic outpouching of bladder wall usually acquired from pressure

A

diverticulum

41
Q

demographic for diverticulae

A

older pt

neurogenic bladder

obstruction

**some are congenital

42
Q

risks associated with bladder diverticulum

A

stasis, stones, infection

increased risk of TCC

43
Q

TURP aka

A

trans urethral resection of the prostate

common procedure to relieve pressure due to prostatic hypertrophy

44
Q

sono features of TURP

A

wedge-shaped defect in prostate at bladder neck

**pitfall diverticulum

45
Q

dmeographic for TCC

A

older pt >60 y

M > F

smoking, chemical exposure

polyploid or infiltrative

46
Q

role of u/s in TCC

A

secondary in dx and staging

often found incidentally

47
Q

mets to bladder usually associated with which primary

A

adj organs invading

cervix, uterus, rectum

48
Q

common reasons for bladder outlet obstruction

A

BPH

tumours

stones

clots

ectopic ureterocele

posterior urethral valves

49
Q

sono features of acute bladder outlet obstruction

A

dilated thin walled bladder

large post void residual

+/- bital hydro

50
Q

sono features of chronic bladder obstruction

A

lumen may be small

wall thickened

trabeculae

+/- diverticulae

often bilat hydro

51
Q

3 types of bladder reconstruction

A

urinary conduit

catherterization stoma

neobladder

** all loops of vascularized bowel; just diff in where/how they drain

52
Q

what is the dx if ++ diverticulae that are MOVING

A

neo bladder

53
Q

congenital maldevelopment of prostatic urethra at the verumontanum

A

posterior urethral valves

54
Q

associations with posterior urethral valves

A

bladder obstruction

bilat hydro

oligo in utero

55
Q

‘sign’ with posterior urethral valves

A

‘keyhole’ sign

56
Q

dysfunctional bladder secondary to loss of nervous control

A

neurogenic bladder

57
Q

causes of neurogenic bladder

A

trauma
spinal cord injury
congenital spinal cord pathology
DM

58
Q

sono appearance of neurogenic bladder

A

often small lumen
wall thickening
trabeculae
+/- diverticulae

**similar appearance to chronic bladder outlet obstruction (diff in the cause)

59
Q

why does a foley catheter shadow

A

trick q. it doesn’t

but might see some shadow due to air or calcific crusties

60
Q

most common ureteral tumour

A

TCC

61
Q

proximal ureter is at the level of the __

A

bladder

62
Q

distal ureter is at the level of the __

A

kidneys