Renal/Uro Document Flashcards
Scrotal transillumination dz
Testicular torsion
Age
cause
Presentation
Hydrocele, spermatocele, variocele
acute unilateral scrotal pain
Adolescent
Twisted spermatic cord, producing testicular ischemia
Tender, edematous, indurated, not relieved w elevation
Testicular mass/nodule
Typical age
Varicocele
Cause
Feels
W recumbence
Presetation
Can lead to
Nontender, solid mass, cancerous
15-35
Dilated pampiniform plexus of spermatic veins
Enlarged, bag of worms
Disappears, not palpable
Asx, more common on left side
Infertility, RCC if it invades left renal vein and impedes testes venous drainage
Genital wart
Rf for
Herpes simplex lesion
presentation
Incubation period
Sx
Asx
HPV infection, STD
Penile/cervical carcinoma
Multiple painful vesicles due to HSV 2
6 days after exposure
Painful, dysuria, fever, inguinal LAD, HA (viral meningitis)
shed virus, transmit sexually
Paraphimosis
Inability to replace retracted foreskin
Painful, emergency as penile edema can result in ischemia/necrosis
Penile cancer
Phimosis
Syphilitic chancre
Reflects
Appearance
Tx
PC- SCC, painless papule
most have HPV dna
P- inability to retract foreskin, rf for SCC of penis
S- painless, occurs 21 days after exposure
Site of spirochete entry
Solitary papule that ulcerates, no exudate
Heal in 4-8 wks w/o tx
Direct inguinal
Palpation in inguinal canal
Indirect inguinal
Palpation in inguinal canal
Femoral hernias
MC pop
D- weakened ab wall musculature, direclty through ab wall
Side of exam finger
I- mc in adults/children, goes indirectly into scrotal sac via inguinal canal
Tip of exam finger
F= Through femoral canal, inferior to inguinal lig
Women
Palpable kidneys
Normal is not
Adult polycystic KD
RCC
Angiomyolipoma (TS)
Xanthogranulomatous pyelonephritis
CVAT tenderness cz
Etiology
swelling of renal capsule
Percuss with medial aspect of fist
Acute pyelonephritis, hydronephrosis
Uremic frost
seen in pts with
Reflects
White, powdery dusting of skin
Severe renal failure w BUN > 200
crystallized urea from sweat
