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Urology
Chapter 5
52
Pathology
Undergraduate 4
04/14/2010

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Term
Ureterocele
Definition
Congenital stenosis of the ureteral orifice, occurs during fetal development
Term
Ureterocele
Definition
Cystic dilated distal ureter swells and develops a pouch near the uvj causing a blockage of urine flow
Term
Ureterocele
Definition
prolapse of distal ureter into the bladder and dilation of prolapsed segment
Term
Ureterocele
Definition
Usually unilateral equally common in both left and right ureters
Term
Ureterocele
Definition
Occur in about 1 in 500 to 1 in 4,000 people. Caucasians are most likely to be affected
Term
Ureterocele Symptoms
Definition
Flank pain foul smelling urine dysuria nocturia
Term
Ureterocele Dx
Definition
IVP, Cystogram NM renal scan, UA
Term
Ureterocele Ra
Definition
Cobra head Sign: round or oval density surrounded by a halo representing the wall o fthe prolabpsed ureter and mucosa of the bladder
Term
Ureterocele Tx
Definition
Surical repair with stent or removing the ureterocele and reattatching ureter to bladder antibiotics or bactrim
Term
Glomerulonephritis
Definition
Inflammatory process involving the glmeruli that filter the blood within the kidney
Term
Glomerulonephritis
Definition
kidney disease, filters become inflamed and scarred and slowly lose their ability to remove wastes and excess water form the blood to make urine.
Term
Glomerulus
Definition
Tuft of capillaries with thin walls. formation of urine begins here.
Term
Glomerulonephritis
Definition
can be acute or chronic and caused by strep bacteria
Term
Glomerulonephritis
Definition
Occurs several weeks after URI or middle ear infection. INflamation causes the glomeruli to be permeable and albumin and RBC's leak into urine
Term
Glomerulonephritis Symptoms`
Definition
Hematuria, proteinuria, Oliguria, Dark, Rusty, Brown, Foamy urine
Term
Glomerulonephritis DX
Definition
IVP, BUN, Creat, Renal bx.
Term
Glomerulonephritis
Definition
Acute: Kidneys normal or increased in size with smooth contours. Chronic: Sm. Kidneys with irregular contours and blunted calyces.
Term
Glomerulonephritis TX
Definition
Antibiotics (Strong) and steroids
Term
Pyelonephritis
Definition
Acute inflammation of the kidney parenchyma and renal pelvis caused by pyogenic bacteria.
Term
Pyelonephritis
Definition
Most often a result of UTI. Can be acute or chronic.
Term
Pyelonephritis
Definition
Bacteria enter retrograde thru urethra
Term
Pyelonephritis
Definition
Cause is E.coli in 80% of cases
Term
Pyelonephritis Symptoms
Definition
Fever>102, chills, dysuria, flank pain, foul smelling urine
Term
Pyelonephritis DX
Definition
CT, U/S, IVP, UA
Term
Pyelonephritis RA
Definition
Acute: IVP is normal. Chronic: Patchy clubbing of calyces with scarring of parenchyma
Term
Pyelonephritis TX
Definition
Antibiotics, increase fluid to flucsh bacteria from bladder
Term
Cystitis
Definition
INflammation of the bladder
Term
Cystitis
Definition
Commonly called UTI
Term
Cystitis
Definition
Most common in women due to shorter urethra
Term
Cystitis
Definition
Spread of bacteria from fecal material, catherization, Sexual intercourse. Catheterization is most common nosocomial infecction.
Term
Cystitis
Definition
E.coli is most common bacteria
Term
Cystitis Symptoms
Definition
Acute: frequent, painful urination, burning, urgency. Chronic: pyuria
Term
Cystitis DX
Definition
IVP, cystogram
Term
Cystitis RA
Definition
Acute: None. Chronic: decrease in bladder size and irregular bladder wall.
Term
Cystitis TX
Definition
Antibiotics, sulfa drugs, fluids to flush bacteria from bladder
Term
Nephrolithiasis
Definition
Also Renal Calculi
Term
Nephrolithiasis (Renal Calculi)
Definition
Most painful urologic disorder. 2.7 million doctor visits due to this. 600,000 ER visits. Men more then Women.
Term
Nephrolithiasis (Renal Calculi)
Definition
Kidney stone from urine becoming overly concentrated with certain substances. Cause small Crystals to form and then stones.
Term
Nephrolithiasis (Renal Calculi)
Definition
No symptoms until it moves to ureters, Flank region pain and down to groin.
Term
Nephrolithiasis (Renal Calculi)
Definition
Urinary calculi most commonly from in the kidney
Term
Nephrolithiasis (Renal Calculi)
Definition
Asymptomatic until they lodge in the ureter and cause partial obstruction.
Term
Nephrolithiasis (Renal Calculi)
Definition
Severe flank pain chills fever hematuria, N&V
Term
Calcium (Renal Calculi)
Definition
Most common. 50 to 75% pure or mixed with oxlate or phosphate, increased urinary calcium from abnormal absorption from the intestine. excess leakage of calcium from the kidneys may be due to immoblization after surgery or injury
Term
Phosphate (Struvite) (Renal Calculi)
Definition
15% usually massive (staghorn) calculi, also called an infection stone. Develops when urinary tract infection affects the chemical balance of urine.
Term
Magnesium Ammonium Phosphate (Renal Calculi)
Definition
13%, occur in patients with metabolic or hormonal disorders such as hyperparathyroidism
Term
Uric Acid (Renal Calculi)
Definition
Associated with gout, 10%
Term
Cystine (Renal Calculi)
Definition
form in people with cystinuria, hereditary disorder in which kidneys dnt absorb amino acid cystine and increases stone formaiton. 3%
Term
Uric acid and cystine stones
Definition
found in acidic urine
Term
Phosphate
Definition
found only in alkaline urine.
Term
Renal Calculi DX
Definition
IVP, CT, UA(pH)
Term
Renal Calculi RA
Definition
Calculi
Term
Renal Calculi TX
Definition
muscle relaxants, force fluids, lithotripsy, surgical removal
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