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ClinMed3 > Urology > Flashcards

Urology Flashcards

1
Q

severe ventral curve?

A

chordee- hypospadias

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2
Q

hypospadius complications?

A

fistulas, strictures

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3
Q

epispadias associated w/?

A

complete vesical (bladder) exstrophy

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4
Q

prepuce not retractable

A

phimosis

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5
Q

phimosis
sx?
Px?

A

obstruction to urine, UTI

penile malignancy

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6
Q

prepuce retracted proximal to glans

A

paraphimosis

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7
Q

severe swelling, necrosis? fix with dorsal surgical slit?

A

paraphimosis

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8
Q

cryptorchidism:

  • predisposing factors?
  • inc risk of? 2
  • absent reflex?
  • majority occur in?
  • tx: medical? surgical?
A 
preemie/small/low birth wt, twins, exposure to estrogen in T1
infertility, malignancy
cremasteric
inguinal canal
hCG/GnRH; orchidopexy/orchidectomy
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9
Q

failure of obliteration of processus vaginalis; risk for ?

A

hydrocele; indirect hernia

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10
Q

varicocele

  • looks like ?
  • ? veins (of the ?)
  • more common on ?; risk of ? if later in life
  • tx: ?, alternative?
A
  • bag of worms
  • dilated, pampiniform plexus
  • left, left renal tumor
  • high ligation, collateral circulation, varicocele embolization
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11
Q

priapism

  • blood trapped in?
  • nonischemic (high flow) cause?
  • ischemic (ow flow) causes?
  • complications?
  • Tx? high flow?
  • procedure that shows communications created between corpora cavernosa and glans penis w/ Bx needle
A
  • corpus carvernosum
  • trauma
  • SCD, leukemia
  • fibrosis of corpora cavernosa; permanent impotence
  • spinal anesthesia, sedation, phenylephrine (do not inject topside or underside)
  • Winter’s procedure
  • high flow: observe
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12
Q

incomplete torsion tx?
severe torsion tx?
absent?

A

surgery w/in 12h

surgery w/ in 4h

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13
Q

torsion Tx procedure?

A

open a book maneuver- twist outward

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14
Q

torsion- detect testicular b.f. w/?

A

color doppler u/s

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15
Q

peronie’s dz

  • autoimmune ? dz; ? during erection from ? of corpus cavernous
  • associated allele?
  • tx for adequate penis length, angle 45 degrees or hourglass?
  • men w/ ED?
  • new injectible (collagenase)?
A
  • connective tissue, severe penile curvature (usually superior)
  • HLA-B7
  • nesbit plication
  • plaque incision w/ saphenous vein graft
  • penile prosthesis
  • colostridium histolyticum (also for Dupuytren’s contracture)
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16
Q

cancer

-mc in whites? blacks?

A

testicular, prostate

17
Q

testicular ca sx?

A 
tender breast (inc hCG)
painless mass
18
Q

testicular ca

  • 95%? germ cells
  • embryonal ca?- more common in?
  • uncommon, rapid, blood & lymph, monitor w/ hCG?
A

seminoma
nonseminoma, childhood
choriocarcinoma

19
Q

testicular ca

  • dx?
  • tx?
  • to monitor?
  • chemo agents?
A

testicular u/s
inguinal orchiectomy
alpha beta protein, hCG
BEC (bleomycin, etoposide, cisplatin)

20
Q

BPH

  • shrinks epithelial cells?
  • shrinks stromal cells?
  • surgical Tx? s/e?
A
  • proscar (finasteride- alpha reductase inh)
  • cardura (doxazosin) , hytrin (tarazosin)- alpha blockers
  • prostatectomy; TURP, TUIP, or TULIP; s/e of TURP: transurethral resection syndrome (N/V, inc BP, bradycardia, tachypnea)
21
Q

prostatic ca

  • MC ?
  • USPSTF recommends against?
  • PSA > ? suggestive of ca
  • screening- blacks? whites?
  • Tx?
A
  • tumor in men in US
  • screening after 70 y.o.
  • 10
  • 40; 50
  • WATCHFUL WAITING*, radical prostatectomy/TURP, LHRH agonist, radiation
22
Q 
chronic bacterial prostatitis
young male, indwelling ?, ? pain
fever/chills, dysuria, ? prostate
bugs?
tx? MC? G+?
other tx?
A

catheter, perineal
tense, boggy
e coli, klebsiella
ciprofloxacin, ofloxacin; G+-cephalosporin, nafcillin
total prostatectomy, transurethral prostatectomy (TURP)

23
Q

NONbacterial prostatitis

  • cultures?
  • tx?
A

NO bacterial growth

erythro, doxy, TMP-SMX, FQ (4-6w); SAW PALMETTO EXTRACT

24
Q

sx of prostatitis but NO inflammation, normal leukocytes, and negative culture?
don’t give?

A

prostadynia

NO a/b

ClinMed3 (8 decks)

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