Urinary Bladder Flashcards Preview

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Flashcards in Urinary Bladder Deck (43)
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1

Patent urachus/urachal cyst think:

adenocarcinoma

2

Recurrent pyelonephritis think:

Vesicoureteral reflux

3

Diverticula increase risk for:

stasis -->

infection

calculi

4

Common cause of cystic (bladder) diverticula?

bladder outlet obstruction

(ie. BPH, neoplasm)

5

Failure of development of anterior abdominal wall:

Exstrophy

(incr. risk of chronic infx, adenocarcinoma)

6

Tissue character in adenocarcinoma?

glandular, mucous secreting

7

Conditions predisposing to bladder inflammation:

anything that causes stasis:

extrophy

obstruction

fistula

catheters

cystocele (multiple pregnancies)

calculi

neoplasms

Diabetes (bugs like sugar)

pyelo

pregnancy

neurogenic bladder

8

common presentation of bladder infx in old people?

altered mental status

9

Triad of sx for cystitis:

frequency

pain

dysuria

10

Cause of cystitis in immunosupressed?

candida

cryptococcus

11

Cause of cystitis in young sexually active pts:

chlamydia

mycoplasma

12

Most common causes of cystitis:

bacteria

E. coli

Proteus

Enterococcus

13

non-infx causes of cystitis:

radiation

chemo
-cyclophosphamide-- HEMORRHAGIC

Hunner ulcer

14

PAINFUL

autoimmune related (SLE)

CULTURE NEGATIVE

cystitis

Hunner ulcer (interstitial)

15

Histo of acute cystitis:

PMNs

exudate

16

Histo of chronic cystitis?

LYMPHOCYTES

epithelial hyperplasia

fibrosis

17

soft, yellow raised plaques

Michaelis-Gutman bodies

E. coli, Proteus

foamy macrophages

Malacoplakia

18

Most common bladder neoplasm:

Transitional cell carcinoma (uroepithilial)

19

Prognosis for "sea anemone" appearing tumors:

good

20

Prognosis for cauliflower appearing tumors:

bad

21

Environmental toxin associated with bladder cancer in workers?

Aniline dye

22

High suspicion for bladder CA with this exam finding:

Gross, painless hematuria

23

Gross, painless hematuria in pt over 40:

bladder CA until proven otherwise

24

RBC casts present on UA indicate:

kidney etiology

25

Hgb on UA but no cells = ?

systemic hemolysis

(ie. sickle cell)

26

Grade for Transitional cell CA with atypical cells slosely resembling normal?

grade I

27

Grade fro Transitional cell CA with increased mitoses, nuclear pleomorphism, tumor giant cells:

Grade III

28

Most important determinant for prognosis in CA?

Staging!

29

Stage if limited to mucosa but flat:

TIS -- POOR PROG

30

Staging if muscle layer affected:

T2a/b

superficial vs deep