Urology and nephrology Flashcards
1st line BPH Mx
tamsulosin
alpha blocker
dry ejactulation- inhibits release of semen
oxybutynin
SE?
works in overactive bladder
dry eyes
dry mouth
painless swelling
irreducible, cystic, left sided swelling which transilluminates
hydrocele
epididymitis
red, swollen, painful, cremasteric reflex
throbbing gets better by lifting testicle
urine infections
on examination testicular swelling feels like a bag of worms
if this is on the left side why is it significant?
varicocele
inguinal hernia
can’t get above swelling
cough
PCNL - Mx of Kidney
staghorn
shock wave lithrotrispy
8/9mm
JJ stent
dilates ureter
any intervention
painless, hard, irregular,
unreducable and there is no abnormality on left side
testicular seminoma / teratoma
which testicular tumour is more common
germ cells tumour
seminoma > teratoma
what is the bowel cancer marker?
CEA
why does creatinine increase with prostate cancer
urinary retention
hydronephrosis - trigone and blocks ureters
important ddx for a 57yr with new onset left varicocele
RCC due to drainage of left gonadal vein into renal vein which is blocked
testicular torsion
ages
around 2 years
12-15 second peak upto 25
Torsion of these structures is more common in a younger age group than testicular torsion, and the scrotum is usually less erythematous with a normal lie of the testis.
The ‘blue dot’ sign may be present in the upper half of the hemiscrotum, which is the visible infarcted hydatid
The hydatid of Morgagni is a remnant of the Mullerian duct and is a common testicular appendage. This structure can also become torted, presenting with similar sudden onset pain.