trauma to end of urology

Question 1

Testicular trauma

cause

Answer 1

Trauma

Question 2

sx Testicular trauma

Answer 2

Pain
NV
Syncope

Question 3

Testicular trauma

pe

Answer 3

Hematocele (blood in testes)
Displaced testes
Scrotal swelling
Ecchymosis

Question 4

Testicular trauma

dx

Answer 4

US

Question 5

Testicular trauma

trmt

Answer 5

Ice, elevation, analgesics, irrigation, closure

Surgically explore and repair

Question 6

Testicular cancer

sx

Answer 6

Painless lump in testes
heaviness/achiness
Reactive hydrocele
Weight loss, fever, NV, anorexia

Question 7

Testicular cancer

pe

Answer 7

Firm nodule

Question 8

Testicular cancer

dx

Answer 8

*+ pregnancy test
Serum alpha fetoprotein (AFP), HCG, LDH
CT

Question 9

trmt Testicular cancer

Answer 9

Radical orchiectomy

Question 10

Testicular biopsy contraindicated

Answer 10

testicular cancer

Question 11

BPH

cause

Answer 11

Too much testosterone

Aging

Question 12

BPH sx

Answer 12

Hesitancy, intermittency, weak stream, dripping, incomplete voiding, double voiding, straining to void, frequency, urgency, nocturia

Question 13

BPH pe

Answer 13

Makes a sound when percussed

DRE

Question 14

BPH dx

Answer 14

Serum PSA
UA
Serum Cr
histological staing

Question 15

Bladder scan over 100 is abnormal

Answer 15

bph

Question 16

we can do some waitful watching in this

Answer 16

bph

Question 17

we can do some waitful watching in this

Answer 17

bph, Prostate cancer

Question 18

urolift?

Answer 18

clip to open prostatic fossa

in bph

Question 19

ReZum?

Answer 19

heating tissue to open up fossa in bph

Question 20

gold std for bph

Answer 20

TURP- transurethral resection of the prostate-

Question 21

turp can cause this

Answer 21

retrograde ejaculation

Question 22

HoIEP?

Answer 22

Holmium laser enucleaion of the prostate which is for bph

Question 23

Acute Prostatitis sx

Answer 23

Sudden onset fever and chills
Back pain
Pain while voiding
Obstructive sx
Myalgia and arthralgia

Question 24

Acute Prostatitis pe

Answer 24

Tender, swollen, warm prostate

Caution: massage- bacteremia

Question 25

Acute Prostatitisdx

Answer 25

Microscopy of prostate Bacteriologic localization of cultures UA C&S

Question 26

Acute Prostatitis | trmt

Answer 26

Support Bactrim, milocin, carbenicillin, quinolone * 4 wks Ampicillin or gentamicin parenteral

Question 27

Chronic Prostatitis | cause

Answer 27

Recurrent UTI- E coli, proteus, klebsiella, pseudomonas, enterococcus

Question 28

Chronic Prostatitis | sx

Answer 28

``` Urgency, frequency, nocturia, dysuria Lower back pain Fever Myalgia and arthralgia Milky Urethral discharge in the morning Painful ejaculation ``` same as acute but last longer and come on more slowly... also have milky discharge

Question 29

Chronic Prostatitis | trmt

Answer 29

``` Bactrim or fluoroquinolone * 12-24 wks Sitz baths Hydration Analgesics Stool softeners ```

Question 30

Most common noncutaneous tumor

Answer 30

Prostate cancer

Question 31

Prostate cancer

Answer 31

*Adenocarcinoma from peripheral zone

Question 32

Prostate cancer | risks

Answer 32

Aging Fam hx African americans- demetrio stanley example

Question 33

Prostate cancer | sx

Answer 33

Asymptomatic Obstructive and irritative sx Bone pain

Question 34

Prostate cancer | dx

Answer 34

``` PSA normal (not normal in BPH) TRUS (transrectal US) with biopsies Imaging Gleason score= primary + secondary 8-10 is aggressive ```

Question 35

Prostate cancer | trmt

Answer 35

``` Waitful watching Prostatectomy Radiation Hormone therapy Orchiectomy ```

Question 36

2nd MC tumor in urinary tract

Answer 36

Bladder cancer

Question 37

90% transitional cell carcinoma

Answer 37

Bladder cancer

Question 38

Bladder cancer | cause

Answer 38

Smoking Occupational exposure Pelvic radiation

Question 39

Bladder cancer | sx

Answer 39

``` Hematuria Weight loss Flank pain, pelvic pain Pneumaturia Abdominal mass/ pain Bone pain ```

Question 40

Bladder cancer | pe

Answer 40

``` Suprapubic/rectal/abdominal mass Leg edema Flank tenderness Lymphadenopathy (supraclavicular, axillary, groin) Hepatomegaly ```

Question 41

Bladder cancer | dx

Answer 41

``` Platelets Cystoscopy or ureteroscopy Pyelogram CT urogram Bone or PET scan ```

Question 42

Bladder cancer | trmt

Answer 42

TURBP (transurethral resection of bladder prostate) Radiation Cystectomy

Question 43

if a male has relapsing UTI infections check for this

Answer 43

chronic prostatitis

Question 44

Most lethal of all GU CAs

Answer 44

Renal carcinoma

Question 45

Renal carcinoma is typicallly

Answer 45

Unilateral

Question 46

Renal carcinoma | cause

Answer 46

Clear cell 80%

Question 47

Renal carcinoma | risks

Answer 47

Smoking Obesity HTN

Question 48

Renal carcinoma | sx

Answer 48

Asymptomatic Triad: flank pain palpable mass, hematuria Hemorrhage, weight loss, malaise

Question 49

Triad: flank pain palpable mass, hematuria

Answer 49

Renal carcinoma

Question 50

Renal carcinoma | pe

Answer 50

None | Upper quadrant mass

Question 51

Renal carcinoma | dx

Answer 51

Labs CT scan Renal biopsy Bone scan

Question 52

Renal carcinoma | trmt

Answer 52

``` Watch it Nephrectomy Ablation Radiation Resection ```

Question 53

Renal stones | cause

Answer 53

High protein intake, high salt intake, dehydration

Question 54

Renal stones | risks

Answer 54

More males Fam hx Fat

Question 55

Renal stones | sx

Answer 55

``` Colicky pain (comes and goes) Hematuria Irritative voiding sx Vitals Change in LOC Flank pain Fever NV ```

Question 56

.

Answer 56

.

Question 57

Renal stones | dx

Answer 57

CT abdomen | KUB

Question 58

Renal stones | trmt

Answer 58

``` Ureteroscopy- GOLD std Fluids No Na Moderate oxalate and Ca intake Limit meat No high vit C Admission Urolithiasis Surgery ```

Question 59

Ureteroscopy- GOLD std

Answer 59

Renal stones