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ECN > Uro <3 > Flashcards

Uro <3 Flashcards

1
Q

Les angiomiolypomes- complication

A

hemorragie ( si > 5 cm)

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2
Q

LEs angiomyolipomes- viennent d’ou et contiennent quoi?

A

tissue mésenchymateuse comprenant à parts variables de la graisse, des vaisseaux et du muscle

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3
Q

Les angiomiolypomes- plutot femme ou homme?

A

femme

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4
Q

Si angiomyolipomes bilat- quelle pathologie?

A

Sclérose Tubéreuse de Bourneville

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5
Q

Causes d’infection urinaire sans nitrits

A 
Bacteires: 
- Staph. saprofiticus
- Pseudomonas aeruginosa
- Strep. enterococcus
ph acide
urine dilues
diuretiques
faible bacteirurie
infections masculines
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6
Q

Evalutation HBP- score

A

IPSS

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7
Q

Quelle partie de la prostate souffre hyperplasie?

A

peri-urtrale - zone de transition

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8
Q

Debitmetrie- valeurs normales

–> volume urinaire minim pour faire le test

A

> 200 ml
15 ml/s

– min 150 ml

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9
Q

Toucher rectal- HBP- grames prostate

A

> 20 g

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10
Q

HBP - courbe debitmetrie

A

plate

debit maximal < 10 ml/s

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11
Q

Calcul V prostatic

A

0,5 x longeurx epaisseur x largeur

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12
Q

a-bloquants: representants

EI

A

Omix- tamsulosine
Alfuzosine

EI:
hTA orthostatique
ejaculation retrograde
cephalee, vertige

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13
Q

inh. 5a-hydroxilaze: representants

- quand on le prescrire en HBP

A

finasteride
dutaseride
– > 6 M
si > 40 g prostate

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14
Q

Quand on utilise IPDE5 en HBP?

A

quand HBP + trb. erectiles

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15
Q

Indication chirurgie HBP

A
  1. resistan au tt medical
  2. preference du patient
  3. complication HBP
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16
Q

Comment choisir le type de la chirurgie en HBP:

A

< 30 g- incision cervico-prostatique endoscopique
< 80 g: TURP
> 80g: adenectomie laparo
si ACO- photo-vaporisation laser

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17
Q

TURP syndrome- symptomes

A 
cephalee
hypoTA
trb. visuels
bradycardie
douleur thoracique

surcharge volemique + hypoNa de dilution

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18
Q

fdr TURP syndrome

A

> 60 min operation

saignement per-operatoire

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19
Q

TTT TURP syndrome:
Na > 120
Na< 120

A

Na > 120: diuretique + restriction hydrique

Na<120 Na hypertonique

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20
Q 
Surveillence HBP:
pas therapie
sous a-bloc
sous inh. 5a-reductase
tt chiru
A

pas therapie: 6 M–1 an
sous a-bloc: 6SA-6M-1 an
sous inh. 5a-reductase: 3M-6M-1A
tt chiru: 6 SA-3M-1an

21
Q

fdr cancer prostate

A

androgenotherapie
age
afro-atillais
atcd. fam: 2 parents 1ere degree ou 1 parent < 55 ans

22
Q

Surrveillence depistage PSA

A 
TR + PSA
des 45 ans si fdr ou 50-75 ans
PSA normal: tous les 8 ans
PSA: 1-2: tous les 2 ans
si fdr: tous les 2 ans
23
Q

Tu. prostate: clinique

A 
trb. urinaires
hemospermie
hematurie
AEG
MTS osseuse
OMI asymetrique 
thrombophlebite
dilatation uretero-pyleocaliciale
24
Q

Se, Sp
VPP, VPN
PSA our cancer prostate

A 
Se= 70%
Sp= 90%
VPP= 30%
VNP= 90%
25
Q

PSA- valeur plus haut car:

A 
HBP
prostatie
raport sexuelle 
TR
age
retention urinaire
sondage urinaire
retention d'urine
biopsie
26
Q

Quand il y a une indication pour biopsie de la prostate?

A

2 PSA seriques > 4 ng a distance d’un moi

or rapidement progressive au TR

27
Q

Indication pour PSA libre/total et interpretation

A

si biopsie negative mais PSA: 4-10 ng
> 20 %–> HBP
< 10%- cancer ou prostatite

28
Q

Mesures avant et apres biopsie de la prostate

A

Avant:

  • lavage rectal
  • ECBU sterile

Apres: FQ

29
Q

TT prostatite post-biopsie

A

hospitalisation + C3G

30
Q

TNM cancer de la prostate

A 
T1- pas palpable ni visible
a/b : TURP
c: PSA eleve
T2: que la prostate
a: <1/2 lobe
b: > 1/2 lobe
c: les 2 lobes
Ta: capsule
T3b: vesicule seminale
T4: autres organes
31
Q

Score Gleason

A 
1= G 6
2= G3+4
3=G4+3
4=G 8
5= G9-10
32
Q

Cancer prostate- risque faible

A

Gleason <=6
PSA <10
T1c/ T2a

33
Q

Cancer de la prostate- risque intermediaire

A

Gleason=7
PSA= 10-20
T2b

34
Q

Cancer de la prostate- risque eleve

A

Gleason >= 8
PSA> 20
>= T2c

35
Q

Traitements possibles en HBP legere

A

a-bloc

phototherapie

36
Q

dif. entre kyste renale 2 et 2 F kyste renales

A

hyperdense les 2
fines clacifications
2F: paroi lageremtn epaisse

37
Q

CAT kyste renal IIF

A

surveillence 5 ans

38
Q

lequel ou lesquels est(sont) indiqué(s) dans le bilan d’extension systématique d’une tumeur de vessie infiltrant le muscle (TVIM)

A

Uro-Scanner

Scanner thoracique

39
Q

CAT kystes renales

A

Stade 1 et 2: aucun surveillence
Stade 2 F: surveillence
Stade 3-4: risque malignite: chiru

40
Q

difference entre stade 3 et 4 kyste renales

A

stade 4 a des vegetation ou nodule mural

41
Q

avant TURP, on doit arreter les AC?

A

oui

42
Q

Quel examen permet de diagnostiquer une hyperactivité détrusorienne ?

A

cytomanometrie

43
Q

CI catheter sus-pubien

A

pontage femoro-femural croissee
coagulopathie ou anticoagulation
atcd. cancer de la vessie
laparotomie- cicatrice

44
Q

complications apres sondage pour un globe vesical

A

sy. d’evacuation
hemorragie ex-vaccuo
IRA
vessie claque- perte des capacites contractiles. diverticules

45
Q

difference entre trb. erecticle organique ou psychologique

A

organique:
- progressive
- ejaculation avec verge molle
- pas erection nocturne
- libido conservee

psychologique:

  • erection nocturnes presentes
  • absence de libido
  • debut brusc, inconstant
  • aucun ejaculation possible
46
Q

tt 1ere ligne trb. d’ejaculation

A

inh. phosphodiesterase:
Sildenafil
Tadalafil
Varendafil

47
Q

questionnaire pour trb. erectiles

A

IIEF

48
Q

CI inh. phosphodiesterase

A

derive nitres–> hTA

49
Q

la resection de la prostate donne un trouble erectil?

A

non- une ejaculation retrograde

ECN (29 decks)

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