Passmed Urology And Renal Flashcards
(45 cards)
Which drugs are associated with erectile dysfunction?
SSRIs
Beta blockers
What does a loin mass with a cystic centre indicate?
Cancer, likely renal adenocarcinoma
What causes strandin of peri-ureteric fat?
Recent stone passage, in the absence of ureteric calculus
It may also be a sign of pyelonephritis
What is the best test for sexually actively younger adults with suspected epididymis or hit is?
NAAT test
What is the best test for older adults with suspected epididymis or hit is?
Mid stream sample of urine
What is the first line investigation in prostate cancer?
Multiaparametric MRI
What is the risk of trans rectal ultrasound guided prostatic biospy?
Infection
What is given for metastatic prostate cancer?
GnRH agonist to suppress LH production
What cancer of the kidneys is associated with tuberous sclerosis?
Angiomyolipoma, with those who have learning disabilities like Down’s syndrome
What are the complications of TURP syndrome?
Urethral strictre
Retrograde ejaculation
Prostate perforation
What are the features of TURP?
Glycine toxicity
Dilutional hypnoatraemia
Fluid overload
What is the liver pathology presentation in Stauffer syndrome?
Causes rise in cholestasis enzymes but only hepatosplenoemgaly. Always suspect in chronic flank pain which cholestasis picture.
What does weak urinary stream and history of gonorrhoeal should be suspected?
Urethral stricture
What age is the risk factor for BPH?
65 and above
How long to wait after prostatitis to do PSA?
1 month
What does flank pain with ballotable mass indicate?
Hydronephoriss, and should be imaged with ultrasound guided nephrostomy
For management of renal colic, when is IM NSAIDs contraindicated?
Chronic kidney disease
Hypertension
What cases confusion following catheterisation for acute urinary retention?
Post obstructive diuretics
What causes a smooth and regular strictre separate from testes?
Epidermal cst
W
What to do if stone has passed (per PEFR IC fat stranding) but patient has severe pain and hydronephrosis?
Require regent renal decompression and IV antibiotics due to sepsis risk
What does enter boggy prostate indicate?
Prostatits, which should be treated with quinolone for 2 weeks
How is an acute urinary tract obstruction managed?
Npehorstomy, even when there is renal stone as reducing hydronephrosis is the priority.
