✅RENAL & UROLOGY

Question 1

What is the Cremasteric Reflex?

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Why is it important?

Answer 1

stroking upper inner thigh ➜ testicle elevation

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ABSENT CREMASTERIC REFLEX = TESTICULAR TORSION

(6 HOURS UNTIL IRREVERSIBLE DAMAGE)

Question 2

[ADPKD (Autosomal Dominant Polycystic Kidney Disease)] cp -4

Answer 2

1. Multiple Bilateral US Renal Cyst
2. bilateral flank “fullness” and pain
3. HTN ➜ hematuria, proteinuria, CKD, ESRD
4. +/- asx
   * Aggressively control HTN with ACEk2 inhibitors*

Question 3

ADPKD mgmt

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(Autosomal Dominant Polycystic Kidney Disease)

Answer 3

ACEk2 inhibitors to prevent CKD