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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
Q

s/s of acute prostatitis

A

-fever, chills
-perineal pain
-irritative voiding
-hot, exquisitely tender prostate

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26
Q

treatment of acute prostatitis

A

-antibiotics

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27
Q

s/s of chronic prostatitis

A

-may be asx
-irritative voiding
-boggy, tender, enlarged prostate

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28
Q

treatment of chronic prostatitis

A

6 weeks of antibiotics

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29
Q

s/s of pyelonephritis

A

-fever
-chills
-n/v
-flank pain
-UTI sx
-WBC casts

30
Q

treatment of pyelonephritis

A

-antibiotics (cipro)

31
Q

s/s of testicular tumor

A

-painless enlargement of testis

32
Q

workup of testicular tumor

A

-scrotal US
-radical inguinal orchiectomy

33
Q

treatment of testicular tumor

A

radical inguinal orchiectomy

34
Q

mcc of urethritis

A
  1. gonorrhea and 2. chlamydia
35
Q

s/s of urethritis

A

-irritative voiding
-pain at urethral meatus
-urethral discharge

36
Q

treatment of urethritis

A

rocephin and doxy

37
Q

s/s of iron deficiency anemia

A

-fatigue
-palpitations
-brittle nails
-pica
-conjunctival pallor
Scleral icterus

38
Q

diagnosis of iron deficiency anemia

A

-microcytic anemia
-iron panels

39
Q

treatment of iron deficiency anemia

A

-iron replacement
Ferrous sulfate 325 mg TID with orange juice

40
Q

s/s b12 deficiency anemia

A

-angular cheilosis
-neuropathy and paraesthesias

41
Q

diagnosis of B12 anemia

A

-methylmalonic acid
-macrocytic

MMA SPECIFIC TO B12 BCUZ YOU HAVE TO B 12 TO WATCH MMA FIGHTING

42
Q

treatment of B12 anemia

A

replacement

43
Q

s/s of folate anemia

A

-cheliosis
-NO NEUROPATHY

44
Q

treatment of folate anemia

A

replacement

45
Q

s/s of antiphospholipid syndrome

A

-recurrent miscarriages
-clots
-livedo reticularis

46
Q

ALL characteristics

A

-MC in children
-lymphoblasts

47
Q

treatment of ALL

A

-induction chemo
-CNS prophylaxis
-post remission therapy

48
Q

CLL characteristics

Chronic Lymphocytic Leukemia

A

-smudge cells
-lymphocytes
-MC adult leukemia in western world over 60yo

49
Q

Dx of CLL

A

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
Q

treatment of CLL

A

multidrug chemo

51
Q

characteristics of AML

A

-auer rods
-myeloblasts

52
Q

treatment of AML

A

-induction chemo
-postremission therapy

53
Q

characteristics of CML

A

-philadelphia chromosome
-myelocytes
-BCR-ABL gene
-Low leukocute alkaline phosphatase (LAP)

54
Q

treatment of CML

A

TK inhibitor

55
Q

s/s of non-hodgkin lymphoma

A

-painless and slow growing lymphadenopathy
-b symptoms

56
Q

diagnosis of non hodgkin lymphoma

A

excisional lymph node biopsy

57
Q

treatment of non-hodgkin lymphoma

A

chemotherapy and radiation

58
Q

s/s of hodgkin lymphoma

A

-painless mass
-B symptoms

59
Q

diagnosis of hodgkin lymphoma

A

lymph node biopsy with reed sternberg cells

60
Q

treatment of hodgkin lymphoma

A

multidrug chemo and radiation

61
Q

s/s of polycythemia vera

A

-fatigue
-CP
-generalized pruritus
-bleeding
-VTE
-plethora

62
Q

diagnosis of polycythemia vera

A

-Hct >54% in males, >51% in females
-low EPO

63
Q

treatment of polycythemia vera

A

phlebotomy

64
Q

s/s of ITP

A

-rash, bruising, or bleeding in an otherwise healthy child

65
Q

diagnosis of ITP

A

-isolated thrombocytopenia

66
Q

treatment of ITP

A

-initial: watchful waiting
-steroids

67
Q

s/s of TTP

A

-AMS
-petechiae
-schistocytes

68
Q

treatment of TTP

69
Q

s/s of DIC

A

-blood “oozing” from multiple cites

70
Q

treatment of DIC

A

cyro and FFP

Family Med EOR (14 decks)

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