18.2 Common Surgical "South"

Question 1

paraphimosis Mx?

Answer 1

• cold compress

- reduce it slowly/carefully

Question 2

phymosis treatment?

Answer 2

circumcision

Question 3

3 elements of hypospadias?

Answer 3

• ventrally deficient foreskin
• chordee
• proximal urinary meatus

Question 4

how do you get a hydrocele or hernia in a newborn?

Answer 4

when the testes ‘descends’, takes a part of the process vaginalis and the canal can remain open for fluid or bowel to slip in

Question 5

which babies more likely to get inguinal hernias?

Answer 5

premature babies

Question 6

mx of hydrocele in neonate?

Answer 6

• 90% will resolve on it’s on

- MUST rule out inguinal hernia

Question 7

tips about undescended testes, checking?

Answer 7

if at birth, noted the testes were both down, more likely retractile

Question 8

Epigastric hernias usually contain?

Answer 8

• extra peritoneal fat

- if causing pain - surg

Question 9

fused labia mx?

Answer 9

if symptomatic - divide

-if passing usrine and non-symptomatic: leave it

Question 10

who gets perianal abscess?

Answer 10

usually boys

Question 11

if the perianal abscess reoccurs a lot, need to think of?

Answer 11

perianal fistula

Question 12

when do you get torsion testicular appendage?

Answer 12

peak 2-3 year before testicular torsion

Question 13

what is the testicular appendage?

Answer 13

-95% hydatid Morgangni

-

Question 14

where is pain for testicular torsion appendage?

Answer 14

• upper pole

- blue-dot sign

Question 15

peaks for testicular torsion?

Answer 15

• neonate

- age 12 onwards

Question 16

absent testes plus groin pain = ?

Answer 16

possible torsion of undescended testis

Question 17

epididymo-orchitis in kids normally?

Answer 17

• very rare
• usually infection as source
• usually urinary tract abnormality