Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

clin med > urology part 2 > Flashcards

urology part 2 Flashcards

1
Q

Balanitis cause

A

Bacteria or candida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Balanitis sx

A

Dysuria, urgency, frequency, tender, itching, discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Balanitis

pe

A

Ulcers, pus, lesions, tenderness, smegma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Balanitis

dx

A

Swab, KOH for yeast, Tzanck prep for herpes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Balanitis

trmt

A

Hygiene, topical or oral ATB (bacitracin or Keflex), topical or oral antifungals, topical steroids (mycolog)
Circumcision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

phimosis?

A

foreskin cant be pulled back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Phimosis

cause

A

Congenital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Phimosis

sx

A

Dysuria, dribbling, discharge, hx of UTI, bleeding or crackling at foreskin, pain with intercourse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Phimosis

pe

A

Crackling of skin, discharge, normal skin color

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Phimosis

dx

A

Visual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Phimosis

trmt

A 
Topical steroids (dexamethasone) 
Circumcision is curative
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Paraphimosis?

A

Retracted foreskin is not pulled back to its normal position

UROLOGIC EMERGENCY bc it can lead to necrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Paraphimosis pe

A

Edema of the glans distal to constriction

Rule out hair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Paraphimosis dx

A

Visual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Paraphimosis trmt

A

Ice pack on head of penis for 5 min

Dorsal slit= circumcision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ED?

A

cant maintain erection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

common in males under 35

A

ed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

peyronie’s disease can cause this

A

ed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ed dx

A

Not necessary

US may help determine cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

pde 5 inhibitors ex

A

(viagra, levitra, cialis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

pde 5 inhibitors?

A

inhibit breakdown of cGMP which causes smooth muscle relaxation and arteries dilate (viagra, levitra, cialis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

se pde 5 inhibitors

A

SE= facial flushing, HA, dyspepsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Sildenafil is a _____ that can cause

A

pde 5 inhibitors that can cause blurred and blue vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Tadalafil is a _____ that can cause ____

A

pde 5 inhibitors that can cause back ache and myalgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

trmt ed

A

PDE 5 inhibitors
Intracavernous injection therapy- inject agent into corpa to get erection (Alprostadil)
Intraurethral injection therapy- MUSE medicated urethral system erection; place pull in urethra
Vacuum constriction
IPP- inflatable penile prosthesis
Penile revascularization
Psychosexual therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

priapism?

A

Erection longer than 4 hrs

Blood gets into penis but cant get out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

priapism cause?

A

MCC intracavernous injection

Hematologic, idiopathic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

PE priapism

A

Palpate penis, rigid and tender

29
Q

Priapism dx

A

Color duplex doppler US- no blood in cavernous arteries

30
Q

Priapism trmt

A

Aspirate corpus cavernosa until no more dark blood comes out

Phenylephrine- alpha agonist

31
Q

Treat early so pt can have an erection in the future

A

Priapism

32
Q

phenylephrine is an ______

A

alpha agonist

33
Q

Spermatocele?

A

Benign cystic dilation of epididymis

34
Q

Spermatocele cause

A

Trauma, infection, obstruction of epididymal tubule

35
Q

Spermatocele sx

A

Asymptomatic, inc in side compared to testes, pain, point tenderness

36
Q

Spermatocele PE

A

Cystic lesion

*+ transillumination

37
Q

Spermatocele dx

A

Doppler color scrotal US

Epididymal cyst

38
Q

Spermatocele trmt

A

None

Spermatocelectomy if inc in size and lots of pain

39
Q

Spermatocele leads to

A

Leads to infertility

40
Q

Epididymitis?

A

Inflammation of epididymis

41
Q

acute Epididymitis?

A

Acute: sudden onset pain and swelling

42
Q

chronic Epididymitis ?

A

Chronic: inflammation and pain for over 6 wks

43
Q

MCC scrotal pain in outpt

A

Epididymis

44
Q

Epididymitis cause

A

MCC acute bacterial from UTI or STD
Viral, fingic, parasitic
Idiopathic, traumatic

45
Q

acute Epididymitis pathogeneisi

A

Spread from bladder, urethra, or prostate through ejaculatory ducts and vas deferens
Goes from tail to body to head

46
Q

chronic Epididymitis pathogenesis

A

Infections not treated properly
Heterosexual males under 35- n gonorrhea and c trichomatosis
Homosexual males or anal intercourse- e coli, H flu, TB, mycobacterium

47
Q

Epididymitis PE

A

Tenderness
Prehn’s sign- no pain when testicle is elevated
Pain with standing a long time

48
Q

Epididymitis dx

A

Doppler scrotal US- inc blood flow

49
Q

Epididymitis Acute Men under 35 trmt

A

Ceftriaxone or doxycycline

50
Q

Epididymitis Acute Men over 35

A

Levofloxacin or ofloxacin

51
Q

chronic Epididymitis trmt

A

4-6 wks atb

Analgesics, NSAIDS, scrotal support (lift up penis), nerve blocks

52
Q

other Epididymitis trmt

A

Drain it

Epididymectomy

53
Q

Testicular torsion?

A

Torsion of the spermatic cord so blood supply is compromised

54
Q

what ages are at risk for Testicular torsion?

A

Ages 12-18

55
Q

Cryptorchidism- only 1 testicle youre at risk for

A

Testicular torsion

56
Q

Testicular torsion sx

A

Acute, sharp, testicular pain with scrotal swelling
Resolves within minutes; long sx of free periods
NV

57
Q

Testicular torsion PE

A

May be normal if they are in a free period
One testicle is higher- cord shortening
*Loss of cremaster reflex- stroke upper thigh and testicle will rise
Tender
Red scrotum

58
Q

Loss of cremaster reflex- stroke upper thigh and testicle will rise

A

Testicular torsion

59
Q

Testicular torsion dx

A

Scrotal US with doppler

60
Q

Testicular torsion trmt

A

Rotate testes to untwist
Scrotal fixation of testicles on both sides
Orchiectomy if necrotic
Treat within 6 hrs! Over 24 hrs and its necrotic

61
Q

what are the 2 surgical emergencies

A

testicular torsion and paraphimosis

62
Q

Prehn’s sign- no pain when testicle is elevated

A

epididymitis

63
Q

what happens in Testicular appendage torsion?

A

Blood is occluded in one of the testicle appendages

64
Q

Testicular appendage torsion risks

A

Males before puberty

65
Q

Testicular appendage torsion sx

A

Gradual onset aching pain worse with activity

No NV

66
Q

Testicular appendage torsion

PE

A 
Cremaster reflex present
Tender at superior pole
Blue dot/dresner's sign- blue discoloration
Erythema and swelling
Palpable mass
67
Q

Testicular appendage torsion

dx

A

US

68
Q

Testicular appendage torsion trmt

A

Reassurance- pain will subside in 5-7 days

May need to remove it

clin med (35 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions