pestana: urology Flashcards
which one has fever, pyuria, and a tender cord: testciular torsion or epididymitis?
epididymitis
how to treat epididymitis
antibiotics (but do US to r/o torsion)
obstruction and infection of urinary tract presentation
patient passes ureteral stone
spontaneous fever spike and flank pain
obstruction and infection of urinary tract treatment
emergency- decompression above the obstruction (nephrostomy or stent)
and abx
erection lasting over 4 hours treated how
stick needles into erect penis and draw out blood
sonogram, CT, cystoscopy: what indications are best for these urological imaging?
sonogram: dilation, obstruction
CT: renal tumors
cystoscopy: detect early bladder cancers
what to avoid in prostatitis?
rectal exams
acute bacterial prostatitis symptoms
chills, fever, dysria, frequency, low back pain, tender prostates
most common reason for a newborn boy not to urinate 1st day of life
posterior urethral valves
diagnosis and treatment of posterior urethral valves
diagnostic: voiding cystourethrogram
treat: endoscopic fulguration or resection
what should be avoided in hypospadias
circumcision (needed for plastic reconstruction)
vesicoureteral reflux diagnosis and treatment
diagnostic: voiding cystourethrogram
treat: antibiotics until grows out of it
what to suspect if little girl is wet with urine all the time?
low implantation of ureter
what is this: adolescent goes on beer binge (large diuresis to follow) and develops colicky flank pain
uteropelvic junction obstruction
most common presentation for cancers of the kidney, ureter, bladder
hematuria
