Renal/GU Flashcards

1
Q

Tx for BPH

A

Finasteride, Diasteride- 5-alpha reductase (decr. size)

Tamsulosin, alfuzosin, etc (alpha blocker, imm. sx relief)

TURP

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2
Q

3 tx options for ED

A

PDE-5: Sildenafil, Tadalafil, Vardenafil

Intracavernosal injection therapy- Alprostadil

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3
Q

tx for Stress incontinence

A

Kegel exercises

Midodrine, pseudophedrine

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4
Q

tx for urge incontinence

A
  • bladder training
  • 1st line= anticholinergics
    • Oxybutynin
    • Tolterodine
  • Imipramine
  • Mirabegron (B3 agonist–> bladder relaxant)
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5
Q

tx for overflow incontinence

A
  • 1ts line= intermittent indwelling cath
  • Bethanacol (cholinergic)
  • BPH–> Tamsulosin
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6
Q

How do you tx BPH and incontinence

A

Tamsulosin

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7
Q

MCC nephrolithiasis

A

Decreased fluid intake

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8
Q

tx for kidney stone <5mm

A

trial of passage

IVF, analgesics, antiemetics, tamsulosin

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9
Q

tx of kidney stones >7mm

A
  • alkalinize urine
  • Extracorporeal shock wave lithotripsy
  • Uretoscopy +/- stent- immediate relief
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10
Q

Tx for kidney stones >10mm or struvite

A

percutaneous nephrolithotomy

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11
Q

prevention of kidney stones (2)

A

increase fluid intake

Decrease protein

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12
Q

tx for uncomplicated cystitis

A

Macrobin x5-7d

Fluoroquinolones (cipro) x3d

Trimethoprim-sulfamethoxazole DS x3d

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13
Q

tx for complicated cystitis

(complicated= sxs>7d, preg, DM, immunosuppressed, indwelling cath, anatomic abnormality, elderly, males)

A

Fluoroquinolones PO or IV aminoglycosides x7-10d

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14
Q

Tx for cystitis in preg

A

Amox, Augmentin, cephalexin

cefpodoxime, Macrobid, fosfomycin

x7-14d

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15
Q

tx for pyelo

A

fluoroquinolone

or

aminoglycoside

x14d

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16
Q

tx for epidiymitis >35y/o

A

fluoroquinolones (ofloxacin, levofloxacin)

17
Q

tx for acute epididymitis in kids

A

cephalexin or amox

18
Q

Tx for acute prostatitis >35y/o- outpatient

A

fluoroquinolones or TMP-SMX x4-6wks

19
Q

Tx for acute prostatitis >35y/o –> inpatient

A

IV fluoroquinolones +/- aminoglycosides

or

Ampicillin +/- gentamicin

20
Q

Tx for recurrent non-gonococcal urethritis

A

1 time dose of Metronidazole + Erythromycin x7d