Uro Flashcards
What is the next step if a kid has Frank hematuria? What are you looking for?
Urine micro to look to see if the RBCs are normal shape and size.
If they are dysmorphic or RBC casts then we are looking at glomerular causes. If the RBCs are normal, than we need to do US and then cystoscopy
What is the main thing we are looking for when doing an US for kids URO?
Why do we do VCUG?
Hydro either from obstruction or reflex.
This will tell us if the hydro is from reflux
Why will we do cystoscopy?
Why will we do CT for kids URO?
Intraluminal lesions
Trauma and stones and things on top of kidney
What is the patho of UPJO?
What situation does it present in usually?
How to diagnose?
Treat?
Narrow lumen
Normal most of life, first time a teenager gets drunk, high volume of piss and cant handle it so painful during it
US to see hydro and VCUG to rule out reflux
Surgery
What is the patho of ectopic ureter?
What is the typical patient presentation?
How to diagnose?
Treat?
One ureter usually implants into the urethra
Boys are asymptomatic because it is above the external sphincter, but girls have a constant leak because it is below.
US, no hydro, VCUG, no reflux, radionucleotide
How will you diagnose Uretovesicular reflex?
Do US to see hydro and then do VCUG to see reflux
