GU

Question 1

Polycystic Kidney Dz

Answer 1

US: oligohydramnios, renal masses, absence of urine in bladder
flank masses, resp distress
HTN
polydipsia, polyuria

REFER

Question 2

Common UTI pathogens

Answer 2

E coli, Klebsiella, Enterococcus, Proteus

Question 3

UTI etiology

Answer 3

constipation
delayed maturation
UT anomalies, neurogenic bladder, vesicoureteral reflex (congenital, 70% of infants with UTIs)

Question 4

UTI sxs infants

Answer 4

vomiting, irritability, poor feeding, fever

maybe malodorous urine

Question 5

UTI complications

Answer 5

Repeated UTIs can cause renal scarring

Question 6

Pyelo Tx

Answer 6

IV abx
oral abx (clavulinic acid, cephalex, TMP-SMX)

Question 7

Cystitis ND Tx

Answer 7

UT tinctures, teas, D-mannose, water, cranberry, corn silk, equisetum

Question 8

Enuresis

Answer 8

primary- deep sleep, maturation delay, failure to decrease urinary volume at night

secondary- UTI, emotional stress, polyuria condition

Question 9

Enuresis Tx

Answer 9

educate
avoid negative interventions
fluid restriction
CBT
bell and pad alarm?  
Ca/Mg
food sensitivity

Question 10

Vulvovaginitis

Answer 10

• urine/wiping
• chemical irritants
• allergic rxn
• foreign materials
• candida
• trauma
• sex abuse/STDs
• lichen sclerosis

Question 11

Vulvovaginitis Labs

Answer 11

culture/wet prep
GC/CT
Pap if sexually active

Question 12

Vulvovaginitis Tx

Answer 12

boric acid salve, vinegar rinse, antifungal tx

abx

Question 13

Meatal stenosis

Answer 13

in circumcised boys

need procedure to open!

Question 14

Phimosis

Answer 14

physiologic- prepuce attached to glans

fibrotic- tx with betamethasone

Question 15

Balanitis

Answer 15

infection of glans

antifungals or abx

Question 16

Inguinal hernia PE

Answer 16

if bulge upright and disappears supine

valsalva will exagerrate

Question 17

Inguinal hernia Dx and Tx

Answer 17

clinical, US

surgery