Urinary Bladder Flashcards Preview

CRRAB II > Urinary Bladder > Flashcards

Flashcards in Urinary Bladder Deck (43):
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

31

Stage if invading perivesical fat:

T3

32

Stage if invading adjacent structures?

T4

33

What does N1-3 staging indicate?

nodal involvement

34

M1 staging denotes?

distant metastases

POOR PROG

**not surgical candidate

Tx= chemo

35

Stage if limited to mucosa and pappilary appearance:

Ta

36

Stage if invading lamina propria:

T1

37

Schistosoma haematobium infx, think:

Squamous cell CA

**not in USA

38

Childhood associated CA with good prog?

Rhabdomyosarcoma

39

Non-epithelial bladder CA in adults with poor prog?

Leiomyosarcoma

40

Two classifications of Urethritis:

Gonococcal
-Neisseria gonorrhea

Nongonococcal
-E. coli, other enterics
-Chlamydia in sexual active young adults

41

Benign urethral neoplasm at meatus

HPV related

Papilloma

42

Benign urethral neoplasm in females

painfull

red mass

meatus

Caruncle

43

Malignant urethral neoplasm in elderly women

Squamous cell CA