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urologia 2 Flashcards

1
Q

clinica de colico reunoureteral

A
  • dolor SUBITO
  • localizado en fosa LUMBAR

** se irradia hasta VEJIGA, ESCROTO, LABIOS MENORES O CARA INTERNA DEL MUSLO.

***SINTOMAS VEGETATIVOS (nauseas, vomito, agitacion)

***!!!HEMATURIA!!!”

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2
Q

DX LITIASIS RENAL

A

TAC HELICOIDAL

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3
Q

TX LITIASIS

A

1) AINES IV (metamizol en caso de alergia)
2) METOCLOPRAMIDA
3) DIAZEPAM (en caso de ansiedad)

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4
Q

dx litiasis renal en EMBARAZADAS

A

USG RENAL BILATERAL

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5
Q

TX LITIASIS RENAL EN EMBARAZO

A

PARACETAMOL + OXICODONA

en caso de nauseas = METOCLOPRAMIDA

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6
Q

de que tamaño tienen que ser los calculos para que se puedan EXPULSAR ESPONTANEAMENTE

A

< 4 mm

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7
Q

tx de eleccion en caso de litiasis refractaria a LITOTRIPSIA EXTRACORPOREA

A

UTEROSCOPIA FLEXIBLE

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8
Q

tx para litos >4 mm

A

LITOTRIPSIA EXTRACORPOREA (tecnica con ondas de choque)

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9
Q

caracteristicas de LITOS por INDONAVIR

A

son RADIOLUCIDOS (NOOO se ven ni en RX ni en TAC)

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10
Q

clinica prostatitis

A
  • fiebre
  • disuria
  • dolor perineal o lumbar

* PROSTATA INDURADA Y DOLOROSA* (al tacto rectal)

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11
Q

AGENTES DE PROSTATITIS

A

***COLIFORMES =

  • klebsiella
  • proteus
  • e. coli
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12
Q

TX PROSTATITIS

A

1) LEVOFLOXACINO (por 4-6 semanas)

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13
Q

FR para cancer vesical

A

1) AMINAS AROMATICAS

2) TABAQUISMO

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14
Q

CLINICA CANCER VESICARL

A

1 HEMATURIA

  • disuria
  • polaquiuria
  • urgencia
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15
Q

dx CA VESICAL

A

1 USG

GOLD = CISTOSCOPIA CON BIOSIA

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16
Q

TX CA VESICAL

A

RESECCION TRANSURETRAL ENDOSCOPICA

17
Q

TX CA VESICAL SI INVADE MUSCULO

A

CISTECTOMIA RADICAL

18
Q

TX CA VESICAL NOOO MUSCULO INVASOR

A
  • BCG
  • MITOMICINA C

INTRA VESICAL

19
Q

CLINICA DE TUMOR TESTICULAR

A

MASA SOLIDA IIINDOOOLOOORAAA es patognomonico

20
Q

tx tumores malignos testiculares

A
  • SEMINOMAS = RT

* NO SEMINOMA = QT (platino)

21
Q

origen histologico de los tumores malignos de testiculo

A

EPITELIO GERMINAL PRIMORDIAL

22
Q

TX SEMINOMA (segun estadificacion)

A

I = VIGILANCIA

II A= RT

II B = RT / QT

II C - III = QT

  • QT = BEP*
23
Q

triada CA renal

A

1) DOLOR FOSA RENAL
2) HEMATURIA
3) MASA PALPABLE

24
Q

1 FR para CA renal

A

TABAQUISMO

25
TIPO HISTOLOGICO MAS FRECUENTE DE CANCER RENAL
CELULAS CLARAS
26
TX CANCER RENAL
#1 NEFRECTOMIA (parcial/radical)
27
quienes producen el PSA
celulas epiteliales de la prostata
28
escala gleason
2 -4 pts = bien diferenciado 5 - 6 pts = MODERADAMENTE diferenciado 7 - 10 pts = POBREMENTE DIFERENCIADO
29
TX CA PROSTATA
- riesgo bajo= PROSTECTOMIA RADICAL - riesgo ALTO= PROSTECTOMIA + HORMONAL - METASTASIS = HORMONAL ANTIANDROGENICO
30
CLINICA DE TRAUMA RENAL
- DOLOR EN FOSA RENAL - EQUIMOSIS EN FOSA RENAL - ABRASIONES EN FOSA RENAL - FRACTURAS COSTALES - DISTENSION ABDOMINAL
31
GOLD TRAUMA RENAL
TAC
32
GRADOS DE LESION RENAL
1) HEMATOMA SUBCAPSULAR LIMITADO 2) HEMATOMA PERIRENAL // laceracion <1CM 3) LACERACION >1CM 4) LACERACION DE CORTEZA Y MEDULA 5) FRACTURA DEL PARENQUIMA // AVULSION
33
COMPLICACION AGUDA DE LESION RENAL
- infeccion - absceso - fistula urinaria - URINOMA
34
COMPLICACION CRONICA DE LESION RENAL
- hidronefrosis - litos - pielonefritis - PSEUDOANEURISMA
35
CLINICA LESION URETERAL
- HEMATURIA | - sintomas obstruccion urinaria
36
DX LESION URETERAL
UROGRAFIA EXCRETORA
37
CLASIFICACION DE LESION URETERAL
I - HEMATOMA SOLO II - LACERACION <50% DE CIRCUNFERENCIA III - >50% IV - <2 cm de revascularizacion V - > 2cm de revascularizacion
38
clinica lesion vesical
- HEMATURIA - dolor abdominal ** HEMATOMA SUPRAPUBICO
39
dx lesion vesical
CISTOGRAFIA RETROGRADA

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