urology Flashcards
symptoms UTI
newborn = poor feeding, vomiting, irritable // kdis = abdo pain, fever, dysuria, frequency, haematuria
sample kids UTI
symptoms UTI // fever >38 // clean catch
mx UTI <3 months
refer
mx lower UTI > 3 months
oral abx 3 days (return if still unwell after 24-48 hours)
mx upper UTI > 3 months
consider admit // oral cephalosporin or co-amox 7-10 days
symptoms nephrotic syndrome
proteinuria, hypoalbumin, oedema // usually minimal change
age nephrotic syndome
2-5
mx nephrotic syndrome
high dose oral steroids
assoc wilms tumour
genetics + renal malformations + mental redardation
symptoms wilms tumour
age 3 // unilateral abdo mass!! // painless haematuria // flank pain // anorexia, fever
mx wilms tumour
refer 48 hours // nephrectomy + chemo +/- radio (advanced disease)
what is Vesicoureteric reflux
back flow if urine from bladder –> ureter + kidney // ureters displaced laterally
presentation Vesicoureteric reflux
antenatal = hydronephrosis on USS // recurrent UTIs // nephropathy // chronic pyelonephritis // renin + HTN
invx Vesicoureteric reflux
micturating cystourethrogram // DMSA for renal scars
grades Vesicoureteric reflux
1 = reflux to ureterus w.o dilation // 2 = reflux to pelvis w.o dilation // 3 = mild dilation // 4 = dilation + moderate tortusosity // 5 = severe
