Flashcards in Collecting System Issues Deck (13):
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
Likely if UTI presents early in life.
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.
Urethral stricture causes
If gross hematuria post trauma, catheter insertion is contraindicated
Posterior urethral valves
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
Syndromes associated with hypospadias
Silver Russell syndrome
Beckwith wiedemann syndrome
Can circumcision be done with hypospadias?
When should surgical correction be done to fix hypospadias?
6 months, at least within first year of life.
<2.5 cm (1 inch)
Needs endo and genetic work up
Epididymitis vs orchitis
Epididymitis has dysuria
Orchitis does not. Seen with mumps.
Tiny white bumps on tip of uncircumcised penis
White debris under prepuce of uncircumcised kid <3 yo.