Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| examples of causes for prerenal failure: |
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Definition
- decreased volume
- CHF
- sepsis
- post surgical |
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Term
| Examples of intrinsic renal failure: |
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Definition
- tubular
- glomerular
- vascular |
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Term
| examples of post-renal failure: |
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Definition
- tumor
- bph
- stones
- neuropathic
- traumatic |
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Term
| A patient with chronic renal failure may show what on a CBC? |
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Definition
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Term
| Postvoid residual volume: |
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Definition
| > 125 ml could indicate obstruction |
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Term
| Risk factors for kidney stones: |
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Definition
- Male
- 20-50 y/o
- Prior history
- Family history
- Low fluid intake
- HTN (2 fold increased risk)
- Gout
- UTI
- Medications (Ceftriaxone, Acyclovir) |
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Term
| If send pt home to pass kidney stone, what should you give them to help decrease the muslce tone of the ureter? |
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Definition
Tamsulosin (alpha blocker)> Nifedipine (CCB)
but be careful, Tamsulosin can cause rebound HTN |
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Term
| stone greater than __mm refer to urology: |
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Definition
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Term
| sudden onset of testicular pain with systemic symptoms in a child makes you think : |
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Definition
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Term
| dipstick finding in almost all pts with pyelonephritis: |
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Definition
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Term
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Definition
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Term
| First line tmt for pyelo: |
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Definition
| Fluroquinolone 7 day course |
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Term
| Alternative tmts for pyelo: |
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Definition
| - Bactrim or Cephalsporin (Ceftriaxone) 7 day course |
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Term
| Tmt for pyelo if suspect gram positive organism: |
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Definition
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Term
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Definition
PEA
- Papillary necrosis
- Emphysematous pyelonephritis
- Abscess |
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Term
| Risk factors for complicated pyelonephritis: |
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Definition
- Urinary obstruction
- Urologic dysfunction
- Antibiotic resistance pathogen
- Diabetis Mellitus
- Pregnancy
All of these should be admitted with broad spectrum abx. |
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Term
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Definition
- Ceftriaxone 250 mg IM once
- Doxycycline 100 mg PO bid for 10 days |
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Term
| Enteric epididymitis tmt: |
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Definition
Levofloxacin 500mg qd x 10 days
or Bactrim |
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Term
| Most common urological diagnosis in men less than 50: |
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Definition
Acute Bacterial Prostatitis
(remember this is often found with epididymitis b/c STDS) |
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Term
| Outpatient first and second line treatments for Prostatitis: |
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Definition
1st line: Levofloxacin 500 mg PO qd x 30 days
2nd line: Bactrim (TMP-SMZ) po qd x 30 days |
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Term
| Outpatient tmt for prostatitis when GC is suspected: |
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Definition
| IV Fluoroquinoline and Aminoglycoside |
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Term
| General tmt for balanitis: |
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Definition
- Sitz bath
- Good hygiene
- No soap under foreskin
- No neomycin products
- Bactroban ointment 2x/day |
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Term
| Tmt for fungal balanitis: |
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Definition
- Nystatin cream 2x/day for 2 weeks ( can add hydrocortisone cream also)
- Sitz bath
- Good hygiene
- No soap under foreskin
- No neomycin products
- Bactroban ointment 2x/day |
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Term
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Definition
- Leukemia
- Cancer
- Sickle Cell Anemia
- Alcohol
- Drugs (cocaine, ecstasy, marijuana)
- Oral ed drugs RARELY cause this
- Infections (malaria, rabies)
- Toxins (black widow, scorpion)
- Carbon Monoxide
- Hypertriglyceridemia
- Spinal Cord injury
- CVA
- DM |
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Term
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Definition
REFER TO UROLOGIST
- beta 2 agonist (Terbutaline) to increase venous outflow
- Aspiration, saline irrigation by urologist
- Alpha agonist injection (phenylephrine, epinephrine) |
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Term
| additional tmt for priapism pt with sickle cell disease: |
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Definition
- IV fluids
- Oxygen
- Transfusions |
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Term
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Definition
- Necrotizing fasciitis of perineum in men
- MC in DM
- Begins in anorectum, urogenital tract, or skin (anywhere with portal entry)
- almost always polymicrobial |
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Term
| Fournier's Gangrene is almost always polymicrobial with the most common being: |
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Definition
- E. coli
- Strepotococcal species
- Staphylococcal species
- Anaerobic species |
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Term
| Management of Fournier's Gangrene: |
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Definition
(SURGICAL EMERGENCY)
- Consult uro and general surgery
- IV fluids
- Ampicillin-Sulbactam (Unasyn)
- Piperacillin-Tazobactam (Zosyn)
- Pain control
- Surgical IandD |
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Term
| Death from Fourneir's Gangrene is usually from: |
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Definition
- Sepsis
- Coagulopathy
- Acute Renal Failure
- DKA
- Multiple organ failure |
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Term
| GU traumas that can be lethal: |
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Definition
- Shattered kidney (devascularized)
- Renal Vascular Laceration |
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Term
| Signs of urethral injury (meaning do NOT place foley): |
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Definition
- Boggy/high riding prostate on rectal
- Perineal scrotal hematoma
- Blood in urethral meatus |
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Term
| If you suspect urethral injury, what test should you do? |
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Definition
| - Retrograde Urethrogram (KUB with contrast) to see if bladder fills |
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Term
| If the foley cath reveals hematuria or you suspcet significant injury by history and exam, what tests could you run? |
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Definition
- Cystogram (bladder injury)
- CT with IV contrast (upper GU injury)
- Pelvic film (fractures) |
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Term
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Definition
- Lumbar fracture
- Rib fracture
- Pelvic fracture
- Flank hematoma
- Abnormal prostate
- Blood around meatus
- Gross hematuria |
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