urology Flashcards
Young healthy guy with testicular pain, swelling, tenderness. Normal cremaster reflex. Normal UA.
Epididymitis- usually causes by chlamydia trachomatis. The Prenh’s sign may be present (decreased pain when elevate testicle)
Orchitis
Caused by bacteria or MUMPS. Severe testicular pain, FEVER, swelling.
Testicular tumor is painful or painless?
Painless
Newborn with distended bladder, weak urinary stream and us shows bladder thickening has
Posterioir urethral valves
Ua positive in 20s yo f and confirm simple cystitis. Next test is what?
Prego test to determine abx!!! Dont need ucx bc most are due to e coli!!
Turp causes what side effect after?
Dry ejaculate bc 70% will have sperm flowing back to bladder
Doesnt cause testicular atrophy!
Tx of metastatic prostate ca to the bone?
Antiandrogen like flutamide for a week. Then start lhrh like leuprolide
Pt w turp procedure later develops twitching, nausea, confusion due to what electrolyte abn?
HypoNA bc of flushing prostate w solution lacking sodium which can cause twitching, nausea, seizure, hypotension
Prostate boggy; dysuria, painful ejaculate , some blood in ejaculate should get what test next
Ua shows pyuria and positive ua
Tx of chronic nonbacterial prostatitis
Sitz bath and nsaid
Varicocele in pt has higher risk of what if left untreated? Impotence Testicular atrophy Infection Hydrocele
Testicular atrophy
If have r sided varicocele or bl varicocele what is next step?
Ctap to look for ivc obstruction (clot or tumor)
Left sided varicocele more common bc spermatic vain enters left renal vein at 90 deg angle
Cryptorchidism- kid w undescended testes past 6 mo goes through orchiplexy and still has higher risk of?
Testicular torsion?
Malign
Malign!!
If no surg done then higher risk infertility, torsion
