Trigger Urology Flashcards

1
Q

shallow rugae are found when

A

preterm infant

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2
Q

what characterizes male menarche

A

sperm in urine and nocturnal emissions

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3
Q

during which tanner stages does penile enlargement occur

A

stages 2-5

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4
Q

by late childhood a penis should be how big

A

4.85cm

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5
Q

what circumcision technique risks amputation of the glans

yikes

A

Mogen technique

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6
Q

what is the % retrctability of the foreskin in correlation to age

A

age 1 - 50% of boys can retract foreskin
age 3 - 90%
age 6-7 -92%
adolescence 99%

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7
Q

6 weeks of topical betamethasone + stretching

A

phimosis tx

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8
Q

what are the tx options for the various etiologies of balanoposthitis

A

Nonspecific - topial bacitracin/mupirocin
Irritant - topical low potency steroid cream
Candidial - topical antifungal or one dose PO fluconazole
bacterial - topial abx. if severe oral amoxicillin

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9
Q

urethral folds failing to completely close can result in ……. in male children

A

hypospadias

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10
Q

this penile abnormality must be fixed when a boy is 6-12 months old

A

hypospadias

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11
Q

A baby is born with the urethral meatus displaced to the top side of his penis. this baby has…..

A

epispadias

top = dorsal and underneath side = ventral … right? if not plz tell me

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12
Q

epispadias that is associated w urinary icontinence is typically found where on the penis

A

dorsally and proximally

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13
Q

when should testicles spontaneously descend

A

4-6 months

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14
Q

state why each of the following diagnostics is used in cryptorchidism

A
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15
Q

how soon after discovery should retractile/ascending testes be treated w surgery

A

within 6 months

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16
Q

this disorder incereases testicular cancer by 5-10x

A

cryptorchidism

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17
Q

what are the drawbacks of treating cryptorchidism with hCG

A
  • can retract after hCG discontinuiation
  • can hasten puberty
  • can cause testicular damage and sterility
  • long term studies are lacking
18
Q

what does disorder of sex developement mean

A

external genitalia and gonadal/chromosomal sex are differnt

19
Q

when would you want to order 17-hydroxyprogesterone

A

adrenal steroid lab test to assess ambiguous genitalia

20
Q

a patent processus vaginalis wher fluid flows into the tunica vaginalis describes a …

A

communicating hydrocele

21
Q

are direct or indirect inguinal hernias more common? who do these MC occur in ?

A

indirect.

boys <10months

22
Q

what is the tx of an inguinal hernia

A

always refer to surgery for laproscopic repair.

23
Q

What is the timeline in relation to testicular torsion and viability

A

detrosion within 4-6 hrs = 100% viable
after 12 hrs = 20% viable
after 24 hrs = 0%

24
Q

a pt w a normal cremasteric reflex but a + prehn sign probs has what

A

acute epididymitis

25
If a patient presenting with high-likelihood STD epididymitis, you must order (3) labs
couldnt remember this so had to put it here too
26
Doppler US shows increased blood flow to one of the testicles
acute epididymitis
27
what is the treatment for epididymitis that is caused by: STD suspected enteric organism suspected UTI
STD = rocephin + doxy Enteric = levofloxacin UTI = cefdinir or bactrim
28
tx for vulvovaginitis caused by: candidiasis bacteria candidiasis in children who cant swallow pills
- candidiasis = 1 dose oral fluconazole - bacteria = metro + clinda - unable to swallow = topcial azole (12+), nystatin (<12)
29
how do you treat uncomplicated vs complicated labial adhesions
uncomplicated = reassureance and self liomiting complicated = topical estrogen
30
tx for penile adhesions
gentle traction if fails can use topical low potency steroids
31
what is the treatment of a penile skin bridge
referred to ped urologist for lysis of adhesions via scalpel after topical anesthetic application
32
why would you need a clean catch urine sample from a child
if they have a UTI and you need a culture
33
what is diagnostic of UTI in children
Clean-void: 100k or more CFUs Catheter: 50k or more CFUs
34
how do you treat a UTI
* cefdinir, defpodoxime, ceftriaxone, cefotaxime * cipro if pseudomonas * 10 days if febrile * 3-5 if afebrile and immunocompetent
35
what are indications for a renal US in children w a UTI
36
indications for a voiding cystourethrogram
* 2+ febrile UTIs * 1 febrile UTI + abnormal renal US OR 102.2 temp AND a pathogen other than E. Coli or poor growth or hypertension ## Footnote oml shes def gonna ask this
37
how do you tx VUR
* grades 1-2: abx if not potty trained. if potty trained, watchful waiting * grade 3: ABX daily, surgery if non-compliance w meds * grade 4-5 surgery w prohpylactic abx
37
what are the 5 styages of vesicouretal reflux
1. reflux into ureter 2. reflux into kindeys 3. reflux into kidneys, ureter dilation 4. reflux into kidneys, ureter dilation, mild blunting of renal calyces 5. into kidneys, ureter dilation, moderate/severe blunting of renal calyces
38
in order to diagnose enuresis how often does it have to occur
2x week 3 consecutive months a kid thats at least 5
39
when do we use desmopressin in this lecture
treatment for monosymptomatic NE
40
when do we use oxybutynin-ditropan in this lecture
daytime enuresis
41