Trigger Urology Flashcards
shallow rugae are found when
preterm infant
what characterizes male menarche
sperm in urine and nocturnal emissions
during which tanner stages does penile enlargement occur
stages 2-5
by late childhood a penis should be how big
4.85cm
what circumcision technique risks amputation of the glans
yikes
Mogen technique
what is the % retrctability of the foreskin in correlation to age
age 1 - 50% of boys can retract foreskin
age 3 - 90%
age 6-7 -92%
adolescence 99%
6 weeks of topical betamethasone + stretching
phimosis tx
what are the tx options for the various etiologies of balanoposthitis
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
urethral folds failing to completely close can result in ……. in male children
hypospadias
this penile abnormality must be fixed when a boy is 6-12 months old
hypospadias
A baby is born with the urethral meatus displaced to the top side of his penis. this baby has…..
epispadias
top = dorsal and underneath side = ventral … right? if not plz tell me
epispadias that is associated w urinary icontinence is typically found where on the penis
dorsally and proximally
when should testicles spontaneously descend
4-6 months
state why each of the following diagnostics is used in cryptorchidism
how soon after discovery should retractile/ascending testes be treated w surgery
within 6 months
this disorder incereases testicular cancer by 5-10x
cryptorchidism
what are the drawbacks of treating cryptorchidism with hCG
- can retract after hCG discontinuiation
- can hasten puberty
- can cause testicular damage and sterility
- long term studies are lacking
what does disorder of sex developement mean
external genitalia and gonadal/chromosomal sex are differnt
when would you want to order 17-hydroxyprogesterone
adrenal steroid lab test to assess ambiguous genitalia
a patent processus vaginalis wher fluid flows into the tunica vaginalis describes a …
communicating hydrocele
are direct or indirect inguinal hernias more common? who do these MC occur in ?
indirect.
boys <10months
what is the tx of an inguinal hernia
always refer to surgery for laproscopic repair.
What is the timeline in relation to testicular torsion and viability
detrosion within 4-6 hrs = 100% viable
after 12 hrs = 20% viable
after 24 hrs = 0%
a pt w a normal cremasteric reflex but a + prehn sign probs has what
acute epididymitis