Surgery GU Flashcards
(21 cards)
Kehr Sign
abdominal pain referred to shoulder from peritoneal irritation
peritoneal nerve from
phrenic nerve C3-C5
bladder covered in
peritoneum
most common site of extraperitoneal rupture
bladder neck
Pyelonephritis vs. Cystitis vs. UTI
Look it up
normal BUN/Cr ratio
10
what is BUN/Cr ratio of prerenal
greater than 20
what causes prerenal
volume depletion
when do you use Furosemide on Kidney Disease
Intrarenal causes like
Glomerulonephritis or
Acute Tubular Necrosis
Prerenal FE(Na)
FE(Na)
Intrinsic FE(Na)
FE(Na) >1
GU injury associated with pelvic fractures
Posterior urethral injury
Presentation of urethral injury
- blood at urethral meatus (though remember to think cancer in elderly)
- high riding prostate
- scrotal hematoma
4, inability to void despite urge - distended bladder
Leriche syndrome
Aortoiliac PVD causing erectile dysfxn
transilluminated scrotal mass in a kid
hydrocele
hydrocele tx
most resolve by 12 months of age, > 12months needs surgical intervention
hydrocele increases risk of
inguinal hernia
how to dx a urerter stone
- Ultrasound especially in pregos
- Non-contrast CT
- IVP if only choice
what urinary infx leads to struvite stones
Proteus
Anterior Urethral damage vs. Posterior Urethral damage
Anterior: Immediate surgical repair
Posterior: Retrograde Urethrogram
Signs of Posterior urethral damage
blood at meatus
inability to void
high-riding prostate
