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Flashcards in Collecting System Issues Deck (13):
1

Ureteroceles

Mimic UTIs
Most common cause of urinary retention in females
May be a mass on urethral meatus
Or a round filling defect on IVP
--> urinary Tract obstruction

2

Vesicoureteral reflux

Likely if UTI presents early in life.
Dx: VCUG

3

Vesicoureteral reflux treatment

Avoid HTN, renal insufficiency/failure

Usually improves with time

Ppx Abx no longer recommended unless high grade reflux

If febrile, always have to check and treat UTI.

4

Urethral stricture causes

Trauma (catheter)
GC infection

If gross hematuria post trauma, catheter insertion is contraindicated

5

Posterior urethral valves

Male only
Palpable bladder
weak urinary stream, if no urine output then put in a foley
Prenatal US bilateral hydronephrosis and reduced renal parenchyma

If kid has bilateral hydronephrosis, need immediate VCUG to rule out PUV.

Need immediate urological consult for surgery
Renal failure can occur even after correction

6

Syndromes associated with hypospadias

SLOB

Silver Russell syndrome
Laurence-moon-biedl syndrome
Opitz syndrome
Beckwith wiedemann syndrome

7

Can circumcision be done with hypospadias?

No.

8

When should surgical correction be done to fix hypospadias?

6 months, at least within first year of life.

9

Congenital micropenis

<2.5 cm (1 inch)
Needs endo and genetic work up

Prader-Willi syndrome
Kallmann syndrome
GH deficiency
Septo-optic dysplasia
Hypoglycemia

10

Epididymitis vs orchitis

Epididymitis has dysuria

Orchitis does not. Seen with mumps.

11

Inclusion cysts

Tiny white bumps on tip of uncircumcised penis

Benign.

12

Smegma

White debris under prepuce of uncircumcised kid <3 yo.

13

Testicular cancer

Firm, painless, solid scrotal mass

Dx: bilateral ultrasound
lactate dehydrogenase
b-HCG
alpha-fetoprotein

Caucasians
Cryptorchidism
Gonadal Dysgenesis
Previous testicular cancer
Family history
Klinefelter syndrome