Urology

Question 1

How long to give UTI Abx for

Answer 1

3d = simple
5-10d = immunocompromised women or impaired kidney
7d = men, pregnant, catheter related (if symptomatic)

Question 2

Haematuria, flank pain, palpable mass
Cannon ball mets in lungs
Polycythaemia, ↑Ca, HTN, Stauffers syndrome (abnormal LFTs)

dx

Answer 2

Renal cell caricnoma

Question 3

What does bladder cancer usually present with

Answer 3

Painless haematuria

Question 4

Which kidney stone types are radiolucent

Answer 4

Xanthine stones + urate stones

Question 5

1st line Ix for prostate cancer after DRE/PSA

Answer 5

Multiparametric MRI

Question 6

BPH Mx

Answer 6

ALpha blockers for rapid symptom improvement- tamsulosin - S/E Postural hypotension
5-alpha reductase inhibitors - finasteride (S/E sexual dysfunction) for decreasing size

Question 7

Pelvic pain, lower UTI symptoms, sexual dysfunction, pain with bowel movements, tender and enlarged prostate

Diagnosis?

Answer 7

Prostatitis (chronic)

Acute when fever, fatigue, nausea etc

Question 8

Mx epididymitis STI vs enteric

Answer 8

STI cause = ceftriaxone 500mg IM + 100 mg doxy PO BD 10-14 days

Enteric organism = PO 400 mg ofloxacin 2 weeks

Question 9

Epidymitis vs Testicular torsion on examination

Answer 9

Epididymitis - UL testicle pain + swelling
Elevating elevates pain

TT = Loss of cremasteric reflex
Sudden, severe pain Elevation of testes DOES NOT ease pain