3.9 Clincal: Urinary Obstruction

Question 1

Tx for BPH

Answer 1

Alpha Blocker- Doxazosin Tamulosin
5-alpha reductase inhibitor (Finastride)
Phosphodiesterase-5 inhibitor (tadalfil)
TURP

Question 2

Papillary Necrosis

Answer 2

Eldery, above bladder

Middle age elderly female; ASA, NSAIDs; Flank pain, malaise

Question 3

Pelvic Neoplasm

Answer 3

Transitional cell carcinoma

RF: Smoking

Question 4

Child Above bladder

Answer 4

UPJ: Boys, Left sided
UVJ: Dilated calyces and renal pelvis, megaureter

Question 5

Child Urethral valve disorders

Answer 5

Boys can develop an extra flap of posterior uretheral valve causing obstruction that results in Keyhole sign on US.

Question 6

Three of the most common places for stone obstruction

Answer 6

Uteropelvic junction
Crossing iliac
Uterovesical junction

Question 7

Adult urinary obstruction

Answer 7

Infection, stone, strictures, gonorrhea, pregnency (trap ureter against pelvic rim)

Question 8

Gonorrhea sx

Answer 8

Split urinary stream.