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Urologie > 3. Hodentorsion > Flashcards

3. Hodentorsion Flashcards

(19 cards)

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1
Q

(Hodentorsion)

Epidemiologie

A

Häufigkeitsgipfel 1. Lebensjahr und zw. 12.-18. Lj.

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2
Q

(Hodentorsion)

Pathophysiologie

A

hämorrhagische Nekrose

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3
Q

(Hodentorsion)

Differenzialdiagnose

A

Hydatidentorsion

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4
Q

(Hodentorsion)

Hydatide

A

Anhangsgebilde am oberen Pol des Hodens, Samenstrang o. Nebenhoden

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5
Q

(Hodentorsion)

Hydatidentorsion: Klinik

A

“Blue Dot Sign”

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6
Q

(Hodentorsion)

Hydatidentorsion: Diagnostik

A

Sonografie

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7
Q

(Hodentorsion)

Hydatidentorsion: sonografischer Befund

A

Vergrößerung der Hydatide > 7 mm

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8
Q

(Hodentorsion)

Therapieentscheidung (2)

A
  • konservative
  • operative
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9
Q

(Hodentorsion)

Hydatidentorsion: Indikation der konservativen Therapie

A

bei sicherer Diagnose und erträglicher Klinik

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10
Q

(Hodentorsion)

Hydatidentorsion: Indikationen der operativen Therapie (2)

A
  • bei unsicherer Diagnose
  • bei persistierender Klinik über 24-48 h
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11
Q

(Hodentorsion)

Leitsymptome (3)

A
  • plötzliche starke Schmerzen
  • Schwellung
  • Rötung
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12
Q

(Hodentorsion)

Befund

A

Palpation kaum möglich

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13
Q

(Hodentorsion)

Bildgebung der Wahl

A

Sonografie inkl. Duplexsonografie

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14
Q

(Hodentorsion)

sonografischer Befund

A

Inhomogenität

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15
Q

(Hodentorsion)

Duplexsonografie: Befund

A

fehlende Durchblutung

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16
Q

(Hodentorsion)

Therapie der Wahl

17
Q

(Hodentorsion)

OP: Zeitintervall

Study These Flashcards
A

innerhalb von 4-6h

18
Q

(Hodentorsion)

OP: Zugang

Study These Flashcards
A

i.d.R. skrotal

19
Q

(Hodentorsion)

OP: Vorgehen

Study These Flashcards
A

operative Hodenfreilegung und offene Detorquierung

mit Orchidopexie
(auch kontralateral)

Urologie (3 decks)

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