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Flashcards in GU Deck (17)
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1
Q

Polycystic Kidney Dz

A

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

REFER

2
Q

Common UTI pathogens

A

E coli, Klebsiella, Enterococcus, Proteus

3
Q

UTI etiology

A

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

4
Q

UTI sxs infants

A

vomiting, irritability, poor feeding, fever

maybe malodorous urine

5
Q

UTI complications

A

Repeated UTIs can cause renal scarring

6
Q

Pyelo Tx

A
IV abx
oral abx (clavulinic acid, cephalex, TMP-SMX)
7
Q

Cystitis ND Tx

A

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

8
Q

Enuresis

A

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

secondary- UTI, emotional stress, polyuria condition

9
Q

Enuresis Tx

A
educate
avoid negative interventions
fluid restriction
CBT
bell and pad alarm?  
Ca/Mg
food sensitivity
10
Q

Vulvovaginitis

A
  • urine/wiping
  • chemical irritants
  • allergic rxn
  • foreign materials
  • candida
  • trauma
  • sex abuse/STDs
  • lichen sclerosis
11
Q

Vulvovaginitis Labs

A

culture/wet prep
GC/CT
Pap if sexually active

12
Q

Vulvovaginitis Tx

A

boric acid salve, vinegar rinse, antifungal tx

abx

13
Q

Meatal stenosis

A

in circumcised boys

need procedure to open!

14
Q

Phimosis

A

physiologic- prepuce attached to glans

fibrotic- tx with betamethasone

15
Q

Balanitis

A

infection of glans

antifungals or abx

16
Q

Inguinal hernia PE

A

if bulge upright and disappears supine

valsalva will exagerrate

17
Q

Inguinal hernia Dx and Tx

A

clinical, US

surgery