Lecture 21 Paediatric Urology Flashcards
1
Q
- 9 month old boy
- mum noticed lump in left groin at bath time
- Gone next morning
- Baby happy and feeding
Diagnosis?
A
Inguinal hernia
2
Q
- 9 month old boy
- mum noticed lump in left SCROTAL swelling at bath time. bluish colour
- gone next morning
- baby happy and feeding
Diagnosis
A
Hydrocele
3
Q
- 9 month old boy
- Mum noticed scrotum empty at bath time
- Normal neonatal discharge examination
- Baby happy and feeding
- Diagnosis?
A
Undescended Testes
4
Q
- “14 year old boy with non retractile foreskin”
- “struggling to pass urine”
- o/e “scarred foreskin
Diagnosis?
A
Balinitis Xerotica Obliterans
5
Q
- “14 year old boy with 4 hour history of right sided testicular pain”
- o/e scrotum red, asymmetry, acutely tender to touch
- Diagnosis?
A
Testicular torsion
6
Q
Name causes of acute scrotum
A
Torsion testis Appendix testis Epididymitis Trauma Haematocele Incarcerated inguinal hernia
7
Q
Why is it important to investigate UTIs
A
Prevent renal scarring
Prevent hypertension
Reflux nephropathy and chronic renal failure
8
Q
How are UTIs assessed
A
US scan
MAG3
DMSA
Micturating cystorethrogram
9
Q
What is the purpose of MAG3
A
Drainage, function, reflux
10
Q
What is the purpose of DMSA
A
Function, scarring
11
Q
What is Vesicouteral Reflux
A
When flow of urine goes the wrong way
12
Q
What is Hypospadias
A
A condition in which the opening of the urethra is on the underside of the penis
13
Q
What are the associated anomalies of hypospadias
A
Upper tract
Ambiguous genitalia
