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Flashcards in GU Deck (25):
1

When do uric acid stones form?

increased cell turnover, urine is acidic, dehydration

2

When are struvite stones formed?

urine is alkaline bc of urease producing bacteria (proteus)

3

What ist he most common cause of overflow incontinence in men?

prostate enlargement

4

What is stress incontinence?

develop incontinence after coughing or sneezing, more common in women; normal PVR volume

5

What are the causes of priapism?

sickle cell/leukemia
perineal trauma
neurogenic lesions (spinal cord injury)
medications

6

A patient presents with penile discharge that stain positive for gram negative diplococci. This is?

Gonorrhea

7

What is the typical presentation of chlamydia?

often asymptomatic, can be associated with clear penile discharge

8

How is chlamydia diagnosed?

Nucelic acid amplification tests

9

What is the treatment for chlamydia?

azithromycin or doxycycline

10

What is the treatment for herpes?

acyclovir

11

A patient presents with tender lymph nodes in both groins. What is this and what causes it?

lymphogranuloma venereum (caused by a variant of chlamydia)

12

A patient presents with painful lesions on the penis. What is this and what causes it?

chancroid - caused by hemophilis ducreyi

13

Describe the stages of syphillis

Stage 1 - painless chancre
Stage 2 - anything, often a non-itchy maculopapular rash involving soles and palms
Stage 3 - gummatous disease, neurosyphillis, tabes dorsalis, cardiovascular disease

14

How is syphillis diagnosed?

RPR or VDRL

15

What is the Jarisch Herxheimer reaction?

side effect of syphillis treatment characterized by fever, muscle pain,

16

How does HIV present acutely?

rash, fever, leukopenia, thrombocytopenia, lymphadenopathy

17

What are the complications of PID

Scarred fallopian tube
Tubo-ovarian abscess (TOA)
Tubal factor infertility
Ectopic pregnancy
Pelvic adhesions
Chronic pelvic pain

18

What is the presentation and treatment of disseminated gonorrhea?

tenosynovitis, dermatitis, and multiple skin lesions (pustules) migratory polygmyalgias- treat with IV ceftriaxone

19

A patient who travels a lot presents with painless ulcers on the penis. What is this and what causes it? How can it be diagnosed?

granuloma inguinale
Caused by klebsiella granulomatis
diagnosed by donovan bodies on Wright stain (rod shaped oval organisms)

20

What are the treatment options for BPH?

alpha 1 blockers (doxazosin, tamsulosin) or 5 alpha reductase inhibitors (finasteride)

21

What are possible presentations of RCC?

classic triad (hematuria, flank pain, palpable mass)
others: scrotal varices, paraneoplastics (polycythemia, hypercalcemia, fever, etc)

22

What are the risk factors for developing UTIs?

honeymoon cystitis - sexual intercourse due to introduction of uropathogens

23

Terminal hematuria is an indication of ...

bladder or prostate injury

24

A patient presents with nocturia in the setting of a family history of "blood issues". This is...

hyposthenuria (an inability to concentrate urine) - in patients with sickle cell disease

25

A patient presents febrile with suprapubic pain, urinary frequency and an esquisitely tender rectal exam. This is...

acute bacterial prostatitis