Renal/GU Flashcards
Tx for BPH
Finasteride, Diasteride- 5-alpha reductase (decr. size)
Tamsulosin, alfuzosin, etc (alpha blocker, imm. sx relief)
TURP
3 tx options for ED
PDE-5: Sildenafil, Tadalafil, Vardenafil
Intracavernosal injection therapy- Alprostadil
tx for Stress incontinence
Kegel exercises
Midodrine, pseudophedrine
tx for urge incontinence
- bladder training
- 1st line= anticholinergics
- Oxybutynin
- Tolterodine
- Imipramine
- Mirabegron (B3 agonist–> bladder relaxant)
tx for overflow incontinence
- 1ts line= intermittent indwelling cath
- Bethanacol (cholinergic)
- BPH–> Tamsulosin
How do you tx BPH and incontinence
Tamsulosin
MCC nephrolithiasis
Decreased fluid intake
tx for kidney stone <5mm
trial of passage
IVF, analgesics, antiemetics, tamsulosin
tx of kidney stones >7mm
- alkalinize urine
- Extracorporeal shock wave lithotripsy
- Uretoscopy +/- stent- immediate relief
Tx for kidney stones >10mm or struvite
percutaneous nephrolithotomy
prevention of kidney stones (2)
increase fluid intake
Decrease protein
tx for uncomplicated cystitis
Macrobin x5-7d
Fluoroquinolones (cipro) x3d
Trimethoprim-sulfamethoxazole DS x3d
tx for complicated cystitis
(complicated= sxs>7d, preg, DM, immunosuppressed, indwelling cath, anatomic abnormality, elderly, males)
Fluoroquinolones PO or IV aminoglycosides x7-10d
Tx for cystitis in preg
Amox, Augmentin, cephalexin
cefpodoxime, Macrobid, fosfomycin
x7-14d
tx for pyelo
fluoroquinolone
or
aminoglycoside
x14d