Pediatrics: GU Conditions

Question 1

Patient presents with:

foreskin that can’t be returned to normal position

Answer 1

Paraphimosis

Question 2

This condition is caused by:

forceful retraction of foreskin

infection

inflammation

surg. procedures

Trauma

Answer 2

Paraphimosis

Question 3

An inability to retract the foreskin…

Answer 3

phimosis

Question 4

How is phimosis treated?

Answer 4

stretching

Topical CS

Circumcision

Question 5

What is more emergent and why?

Paraphimosis or Phimosis

Answer 5

Paraphimosis leads to ischemia

Question 6

Patient presents with:

ventral displacement of the urethra

What is this called?

Answer 6

Hypospadias

Question 7

An abnormal penile curvature is called what?

What condition is it often associated with?

Answer 7

Chordee

Assoc. w/ hypospadias

Question 8

Dorsal Displacement of the urethra is called…

Answer 8

epispadias

Question 9

This condition can increase risk for:

Testicular Torsion

Subfertility

Testicular CA

Answer 9

Cryptorchidism

Question 10

What dx test is confirmatory for testicular torsion?

Answer 10

Testicular US/Doppler

Question 11

What surgery is indicated to correct testicular torsion?

Answer 11

orchiopexy

Question 12

What is the most common causative bacteria for UTI?

Answer 12

E. Coli

Question 13

A patient presents with:

Dysuria
Hematuria

You suspect UTI. What test is 1st line to confirm?

Answer 13

Renal Bladder US (RBUS)

Question 14

This condition is characterized by retrograde flow of urine from bladder to upper urinary tract….

Answer 14

vesicoureteral reflux

Question 15

This condition is treated via the following options:

Surveillance

Prophylactic ABX

Surgical Intervention

Answer 15

Vesicoureteral Reflux

Question 16

What medication can be used to treat nocturnal enuresis?

Answer 16

desmopressin (DDAVP)

Question 17

A patient presents with:

Coca Cola Urine

Decreased Renal Function

Hx of Strep. Throat

What are you suspicious of, and what tests would help confirm?

Answer 17

Post-Strep Glomerulonephritis

ASO/Streptozyme or Complement

Question 18

A patient presents with:

Abd. pain

Rash on LE

Hematuria.

What are you suspicious of?

Answer 18

HSP

Question 19

Patient presents with:

Bloody diarrhea

Hemolytic anemia

Thrombocytopenia

AKI

What should you be suspicious of?

Answer 19

HUS

Question 20

This condition is characterized by:

Proteinuria

Hypoalbuminemia

Edema

Hyperlipidemia

Answer 20

Nephrotic Syndrome

Question 21

Epispadias can occur with what?

Answer 21

Bladder Exstrophy

Question 22

MC area for cryptorchidism…

Answer 22

suprascrotal

Question 23

This condition has the following test results:

Absent cremasteric reflex

Negative Prehn Sign

Answer 23

Testicular torsion

Question 24

What is the tx of choice for pediatric UTI?

Answer 24

Cephalosporin x 3-10 days

Question 25

What findings on physical exam would be indicative of UTI?

Answer 25

Fever of unkown origin (+) CVA Tenderness TTP on abdomen

Question 26

What test is indicated in patients with the following: 2+ UTIs ``` 1st Febrile UTI with: RBUS anomaly Temp 102.2+ non E.Coli poor growth HTN ```

Answer 26

VCUG

Question 27

What diagnostic test is useful to diagnose vesicoureteral reflux?

Answer 27

VCUG

Question 28

Renal scintigraphy is useful to evaluate for...

Answer 28

pylonephritis, renal scarring

Question 29

What condition is horseshoe kidney associated with?

Answer 29

VUR

Question 30

What is the indicated intervention for horseshoe kidney?

Answer 30

none

Question 31

UTI Kidney Stone Trauma Glomerular Disease... These can all cause...

Answer 31

hematuria

Question 32

What triad is useful in identifying Post-Strep Glomerulonephritis?

Answer 32

Throat Bloat Coke

Question 33

A patient presents with: Edema Coca Cola Colored Urine Previous GAS infx. What tests would confirm your suspected diagnosis?

Answer 33

Post-Strep Glomerulonephritis Urine Microscopy: + RBC Casts Throat/Skin Culture ASO Titer Streptozyme Complement

Question 34

How is post-strep glomerulonephritis treated?

Answer 34

supportive care

Question 35

A patient presents with: Proteinuria (foamy urine) Hypoalbuminema Facial Edema Hyperlipidemia What are you concerned for?

Answer 35

Nephrotic Syndrome