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Rezi > Uro > Flashcards

Uro Flashcards

1
Q

Din ce parte a prostatei se dezvolta HBP?

A

Zona tranzitionala

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2
Q

Din ce parte a prostatei se dezvolta ADK?

A

Zona periferica (90% cazuri)

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3
Q

Simptome prostatita

A

Prostatodinie (durere perineala)
Mictiuni frecvente
Imperiozitate mictionala
Disurie
Simptome obstructive

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4
Q

Simptomele obstructive ale prostatei

A

Dificultati la golirea vezicii
Ezitare in timpul mictiunii
Dribling terminal

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5
Q

Simptomatologie prostatita acuta

A

Debut rapid

Febra
Frison
Disurie
Dureri perineale si de spate

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6
Q

Examen clinic in prostatita acuta

A

Tumefiata
Moale
Calda
Extrem de sensibila la tact
Fluctuenta (daca se complica cu abces)

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7
Q

Ce antibiotice se dau in prostatita cronica?

A

Spectru larg

Cotrimoxazol
Chinolone

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8
Q

Clinica prostatita cronica, prostatita non-bacteriana

A

Disconfort la nivelul spatelui, pelvisului si perineului
Disurie
Polakiurie
Initiere dificila a mictiunii

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9
Q

Simptome obstructive clasice ale HBP

A

Disurie
Initierea dificila a mictiunii
Jet urinar slab sau intermitent
Senzatie de golire incompleta a vezicii
Dribling terminal

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10
Q

Simptome iritative tipice ale HBP

A

Nicturie
Polakiurie
Imperiozitate mictionala

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11
Q

Indicatii obiective pentru tratamentul HBP

A

IR
Golirea incompleta a vezicii care determina infectii recurente/litiaza vezicala

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12
Q

Semne ADK prostatic boala avansata

A

Scadere ponderala
Hematurie macroscopica
Dureri osoase prin metastaze
Durere pelvina
Obstructie ureterala

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13
Q

Cand poate creste PSA?

A

Prostatita
HBP
ADK
Orice alta patologie care perturba polaritatea celulara

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14
Q

Avantaje abord minim invaziv in prostatectomia radicala

A

Aspect estetic superior
Risc mai mic de transfuzie
Perioada mai scurta de recuperare postoperatorie
Perioada mai scurta de incontinenta postoperatorie

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15
Q

Reactii adverse antiandrogeni

A

Ginecomastie
Hepatotoxicitate
RA GI - diaree

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16
Q

Drenajul limfatic al vezicii urinare

A

Iliaci interni (hipogastrici)
Iliaci externi
Iliaci comuni
Sacrali

17
Q

Pentru ce se examineaza mucoasa VU la cistoscopie

A

Modificari de relief
Tumori
Leziuni
Vascularizatie anormala

18
Q

Ce includ testele urodinamice

A

Volumul rezidual postmictional (PVR)
Cistometrograma (CMG)
Debit urinar (test uroflow)
Profilul presiunii uretrale
EMG sfincteriana
Cistografie fluoroscopica

19
Q

Cand apare PVR semnificativ

A

Obstructie in golirea vezicii
Cistocel
Vezica neurogena

20
Q

Ce masoara CMG

A

Senzatia de a urina
Capacitatea VU
Complianta VU
Presiunea de golire a VU
Poate detecta contractiile premature ale detrusorului

21
Q

Valoarea maxima a debitului urinar

A

20-25 mL/secunda - barbati
20-30 mL/secunda - femei

22
Q

Ce se poate diagnostica prin cistoscopie fluoroscopica?

A

Cistocel
Prolaps vezical
RVU

23
Q

Cum se poate manifesta persistenta de uraca?

A

Sinus ombilical
Chist de perete abdominal
Diverticul la nivelul domului VU
Fistula vezicoombilicala

24
Q

Ce se evidentiaza la examenul HP in cistita interstitiala?

A

Inflamatie cronica
Fibroza
Infiltratie mastocitara

25
Q

Cauze urologice de ITU recurente care trebuie tratate

A

HBP, prostatita cronica bacteriana
RVU, chist de uraca
Infectie pe rinichi displazic/atrofic, necroza papilara, litiaza
Stricturi uretrale, diverticul uretral, duplicatie/ectopie ureterala
Fistula vezicovaginala/vezicointestinala, corpi straini, abces perivezical

26
Q

Cauze de fistula vezicointestinala

A

Crohn
Neoplasme
Diverticulita sigmoidiana
Plagi penetrante abdominale

27
Q

Cauze de vezica neurogena neinhibata

A

AVC
SM
Paralizie cerebrala
Dementa

28
Q

Cauze de vezica neinhibata reflexa

A

Leziuni traumatice medulare suprasacrate
Mielita transversa
Tumori medulare
SM

29
Q

Cauze de vezica neurogena autonoma

A

Leziuni medulare sacrate
Leziuni de con medular
Sindrom de coada de cal
Afectarea plexului sacrat prin traumatisme, mielomeningocel, chirurgie pelvina

30
Q

Cauze de vezica neurogena senzoriala

A

Tabes dorsal
Siringomielie
Diabet
Anemie pernicioasa

Rezi (15 decks)

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