RANDOM Flashcards
meconium pertionitis: associated with…
50% CF
so a newborn with scrotal masses adjacent to testicles and KUB with intra-abdominal calcifications screen for CF and observe
hypernatremia in a valve kid with diuresis
DI - treat with d 1/4 NS at an aggressive IVF because they are volume contracted
can’t do ADH won’t respond
don’t deplete them
purpuric lesions, TUS with spotty blood flow, UA with RBC
HSP - treat with NSAIDS
2-11 y/o male; abdominal pain, testicular pain; arthralgia
it is a vasculitis and will resolve with time
if proteinuria then use prednisone
urine and serum eosinophil count with bilateral LB pain and rash after keflex
drug induced interstitial nephritis
continence with indiana pouch
plication of ileocecal valve
UPJO in incompletely duplicated collecting system
consider ureteropyelostomy
lichens sclerosis
use steroids! for adults consider hormone therapy
use ointments for better penetration
3m and switch to emollients (AD)
look for atrophic skin exposed to urine / bleeds easily
can you use oral amp for pyelo?
yes
post obstructive diuresis
check urine osmolality to see if initial solute diuresis becomes pathologic
also get BMP
perivesical fluid collection after transplant
aspirate! could be delayed ureteral injury OR lymphocele (marsupialize)
splenogonadal fusion
parallel to vessels
spleen tissue is laterally displaced
can be associated with other congenital defects - but then worry about intra-abdominal bilateral
mirabegron
beta 3 receptor AGONIST
Crohns disease
abdominal pain / frequency / urgency / hematuria initially positive cultures but then negative
watch for posterior BW or SB wall thickness ~4mm on ultrasound
20% will form stones
5% will have ureteral obstruction (can manage with stent initially ) or fistula formation
6 associated GU issues with Imperforate Anus:
1) renal agenesis 2) VUR 3) NGB 4) fistula
5) cryptorchidism and 6) increased incidence of ED after puberty
Post Strep glomerulonephritis
all will have low C3, proteinuria, hematuria / lethargy/edema
those with oral strep: high ASO
those with skin strep: anti DNAse B titers
renal papillary necrosis
watch out when people are dehydrated (metabolic acidosis and hypovolemia); sickle cell patients
hydrate and alkalinize urine; don’t give IV contrast till hydrated; may need stent
genitofemoral nerve
L1-2
genital branch: seen inguinally sensory to mons/scrotum
femoral branch: motor to cremasterics and sensory to anterior thigh
failure of ureteric bud separating from common excretory duct…
1) trigone and BN fail to develop
- results in small capacity bladder with incompetent BN
2) bilateral ureteral ectopy
why does renal ectopia arise?
aberrant blood supply to renal unit
etiology of ureterocele
obstruction of distal ureter secondary to failure of recanalization of ureter
embryology of VUR
ureteric bud branches caudally off mesonephric duct; incorporates too late and thus is laterally displaced
choice of bowel segment for someone who had pelvic radiation…
transverse colon
problems within first 5 days of stoma creation likely do to enteric vascular compromise or anastomotic leak
tuberous sclerosis…
angiofibromas, developmental delay, seizures
can have renal AMLs and RCC
hemorrhagic cystitis in an immunosuppressed patient…
90-95% viral! think BK
BK needs to be treated b/c can cause interstitial nephritis/ strictures/nephropathy/non compliant bladder
tx with iv or intravesical cidofovir (watch out renal toxic) - will tx adeno as well
adenovirus: self limited just watch
