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FCP III - UROLOGY - 1. Hydrocele to 10. UTI
Terms in this set (47)
Collection of fluid around the testicle, forming between the parietal tunica vaginalis and the visceral tunica vaginalis
pt with hydrocele may have what related inflammatory conditions?
Torsed appendix testis
pt w/ history of prior hydrocele presents with unilateral scrotal enlargement which transilluminates, what are the elective treatment options?
needle aspiration with sclerosing agent injection
dilated veins of the pampiniform plexus
testis damage- fibrosis, decreased spermatogenesis
grade that varicocele!
moderate in size, not grossly visible, palpable while standing
varicocele occurs MCly on the (left/right). which side can indicate renal malignancy?
think varicoce(L)e for Left
right side- consider renal malignancy
semen analysis q 1-2 years is indicated for who?
those with palpable varicocele with normal semen analysis in young men
pt presents with prepuce stuck distal to glans, with difficulty voiding. what is the dx? what are they at increased risk of?
phimosis; balanitis if not performing proper hygiene
t/f: phimosis is a urologic emergency and can result in penile necrosis if untreated.
false, PARAphimosis is an emergency so call the PARAmedics
what is a complication of paraphimosis if patient is immunocompromised?
undescended testis and "bell clapper" deformity are associated with what?
MC age for testicular torsion
testicular torsion possible PE findings
Tender, firm testis
High riding testis
Absent cremasteric reflex
No pain relief with elevation
Thick/knotted sperm cord
Epididymis not posterior to testis
aside from clinical suspicion, what can be used to make the dx of testicular torsion?
nuclear testicular scan
acute epididymitis and orchitis should be in the ddx of what?
if detorsion performed at less than __ hours, most testes are viable
6 hours!!! more than 24= likely non-viable
urinary infection involving the bladder
big 2 categories of risk factors to cystitis?
immunocompromise (HIV, malignancy, malnutrition)
urinary stasis/obstruction (urinary retention, ureteral obstruction)
other risk factors to cystitis?
Congenital GU abn
Cystocele or pelvic prolapse
pt presents with dysuria and urgency, with suprapubic discomfort and malodorous urine, what findings on UA are likely?
leukocyte esterase positive
tx of cystitis w/o concern for pyelonephritis
Bactrim BID x 3 days
Macrobid 100mg BID x 5-7 days
symptomatic tx for dysuria
non-infectious causes of urethritis
Reiter's (Reactive arthritis)
what are the 2 MCC of non-gonococcal urethritis
which cause of urethritis is likely to cause profuse purulent discharge?
cultures for urethritis should be obtained when?
1 or more hours after last void
which cause of urethritis should be tested for cure 3 months after recommended and alternative tx?
inflammation of the testicle
3 big noninfectious causes of epididymitis
amiodarone accumulates in epididymis
MC pathogen of epididymitis in men over 35?
pt presents with gradual onset testicular pain with fever and edematous and tender epididymis, what does tx involve?
abx (doxy if STI not suspected)
4 types of prostatitis
the following presentation matches what type of prostatitis?
young male with fever, irritative, obstructive voiding sx, warm boggy tender prostate
acute bacterial; e. coli
duration of abx after admission and DC for acute bacterial prostatitis?
what should be ordered if pt is persistently febrile with acute bacterial prostatitis?
CT pelvis to r/o prostatic abscess
presentation of chronic bacterial prostatitis
-Pain in genitals, urinary tract, perineum, low back
-Irritative urinary symptoms (dysuria, urgency, frequency) and pain w/ejaculation
2 big labs to obtain in suspected chronic bacterial prostatitis?
expressed prostatic secretion
post prostate massage urine culture
4 classes of pharm tx for chronic bacterial prostatitis?
abx (empiric with Bactrim or Fluoroquinolones)
pt presents with multiple past UTIs with negative cultures, what should be on ddx?
inflammatory chronic pelvic pain syndrome
sx of upper UTI
Fevers, chills, flank pain, abdominal pain, nausea, vomiting
CT urogram and renal US may be used in the diagnosis of what?
tx of mildly ill pt with upper UTI
fluoroquinolones PO x7 days
other abx x14 days
acute bacterial nephritis AKA
acute lobar nephronia
MC pathogens of renal abscess?
tx of renal abscess
Follow patient's clinical course and follow with imaging to ensure resolution
the following clinical presentations match what?
Anemia of chronic disease
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