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Family Med EOR > Urology/Renal/Heme > Flashcards

Urology/Renal/Heme Flashcards

1
Q

phimosis

A

foreskin cant retract

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2
Q

treatment of phimosis

A

-stretch
-dorsal slit
-circumcision

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3
Q

paraphimosis

A

inability to reduce previously retracted foreskin

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4
Q

treatment of paraphimosis

A

-urgent uro consult
-manual reduction
-needle decompression
-dorsal slit
-circumcision

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5
Q

s/s of BPH

A

-obstructive voiding
-irritative voiding
-firm, smooth, enlarged prostate

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6
Q

treatment of BPH

A

-doxazosin or other a-blockers (terazosin, tamsulosin)
-finasteride
-PDE5s

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7
Q

s/s of UTI

A

-irritative voiding
-suprapubic pain
-hematuria

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8
Q

dx of UTI

A

urinalysis

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9
Q

treatment of UTI

A

-5 days of macrobid
-3 days of bactrim

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10
Q

etiology of epididymitis

A

men < 35 : N. gonorrhoeae and C. trachomatis
-men >35 : UTI (E. Coli) or prostatitis

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11
Q

s/s of epididymitis

A

-pain and swelling is scrotum
-fever
-positive prehns sign

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12
Q

treatment of epididymitis

A

-NSAIDs
<35: rocephin + doxy
>35: cipro

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13
Q

s/s of glomerulonephritis

A

-edema
-HTN
-cola colored urine
-RBC casts
-hematuria and proteinuria

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14
Q

treatment of glomerulonephritis

A

-HTN management
-diuretics
-steroids

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15
Q

femoral hernia

A

-below inguinal ligament

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16
Q

direct hernia

A

-above inguinal ligament
-rarely into the scrotum

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17
Q

indirect hernia

A

-above inguinal ligament
-often into the scrotum

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18
Q

mc type of kidney stone

A

Calcium oxalate

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19
Q

s/s of kidney stone

A

-acute, severe pain
-urgency and frequency
-n/v
-hematuria

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20
Q

diagnosis of kidney stone

A

noncontrast CT

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21
Q

treatment of kidney stone

A

-pain control
-hydration
-lithotripsy

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22
Q

etiology of orchitis

A

-bacterial: complication of epididymitis
-viral: mumps

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23
Q

s/s of orchitis

A

-swelling, tenderness, erythema
-scrotal pain
-fever

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24
Q

treatment of orchitis

A

-NSAIDs
-empiric doxy + rocephin

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25
s/s of acute prostatitis
-fever, chills -perineal pain -irritative voiding -hot, exquisitely tender prostate
26
treatment of acute prostatitis
-antibiotics
27
s/s of chronic prostatitis
-**may be asx** -irritative voiding -boggy, tender, enlarged prostate
28
treatment of chronic prostatitis
6 weeks of antibiotics
29
s/s of pyelonephritis
-fever -chills -n/v -**flank pain** -UTI sx -**WBC casts**
30
treatment of pyelonephritis
-antibiotics (cipro)
31
s/s of testicular tumor
-painless enlargement of testis
32
workup of testicular tumor
-scrotal US -radical inguinal orchiectomy
33
treatment of testicular tumor
radical inguinal orchiectomy
34
mcc of urethritis
1. gonorrhea and 2. chlamydia
35
s/s of urethritis
-irritative voiding -pain at urethral meatus -urethral discharge
36
treatment of urethritis
rocephin and doxy
37
s/s of iron deficiency anemia
-fatigue -palpitations -brittle nails -**pica** -conjunctival pallor Scleral icterus
38
diagnosis of iron deficiency anemia
-microcytic anemia -iron panels
39
treatment of iron deficiency anemia
-iron replacement Ferrous sulfate 325 mg TID with orange juice
40
s/s b12 deficiency anemia
-**angular cheilosis** -**neuropathy and paraesthesias**
41
diagnosis of B12 anemia
-methylmalonic acid -macrocytic | MMA SPECIFIC TO B12 BCUZ YOU HAVE TO B 12 TO WATCH MMA FIGHTING
42
treatment of B12 anemia
replacement
43
s/s of folate anemia
-cheliosis -NO NEUROPATHY
44
treatment of folate anemia
replacement
45
s/s of antiphospholipid syndrome
-recurrent miscarriages -clots -livedo reticularis
46
ALL characteristics
-MC in children -lymphoblasts
47
treatment of ALL
-induction chemo -CNS prophylaxis -post remission therapy
48
CLL characteristics | Chronic Lymphocytic Leukemia
-smudge cells -lymphocytes -MC adult leukemia in western world over 60yo
49
Dx of CLL
Median age of dx: 70 yo Often asymptomatic at diagnosis WBC >50,000/mcL can be asymptomic and not require therapy LAN (painless), splenomegaly, anemia, thrombocytopenia B symptoms (fever, night sweats, fatigue, weakness)
50
treatment of CLL
multidrug chemo
51
characteristics of AML
-auer rods -myeloblasts
52
treatment of AML
-induction chemo -postremission therapy
53
characteristics of CML
-philadelphia chromosome -myelocytes -BCR-ABL gene -Low leukocute alkaline phosphatase (LAP)
54
treatment of CML
TK inhibitor
55
s/s of non-hodgkin lymphoma
-painless and slow growing lymphadenopathy -b symptoms
56
diagnosis of non hodgkin lymphoma
excisional lymph node biopsy
57
treatment of non-hodgkin lymphoma
chemotherapy and radiation
58
s/s of hodgkin lymphoma
-painless mass -B symptoms
59
diagnosis of hodgkin lymphoma
lymph node biopsy with **reed sternberg cells**
60
treatment of hodgkin lymphoma
multidrug chemo and radiation
61
s/s of polycythemia vera
-fatigue -CP -generalized pruritus -bleeding -VTE -plethora
62
diagnosis of polycythemia vera
-Hct >54% in males, >51% in females -low EPO
63
treatment of polycythemia vera
phlebotomy
64
s/s of ITP
-rash, bruising, or bleeding in an otherwise healthy child
65
diagnosis of ITP
-isolated thrombocytopenia
66
treatment of ITP
-initial: watchful waiting -steroids
67
s/s of TTP
-AMS -petechiae -schistocytes
68
treatment of TTP
FFP
69
s/s of DIC
-blood "oozing" from multiple cites
70
treatment of DIC
cyro and FFP
71

Family Med EOR (14 decks)

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