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Year 5 Notes > Urology > Flashcards

Flashcards in Urology Deck (11):
1

Renal calculi:
Is

Urine dip
MSU
KUB XR - calcification
IVU/spiral CT - obstruction
USS - hydronephrosis

2

Renal calculi:
Tx

Dicolfenac
Fluids
Abx
Medical expulsive therapy - nifedipine, tamulosin, prednisone
Lithotripsy

3

BPH:
features

Enlargement of transitional zone

Nocturia
Frequency
Post micturition dribbling
Poor stream
Hesitancy
Overflow incontinence
Haematuria
Bladder stones
UTI

4

BPH:
Tx

Conservative - avoid caffeine, alcohol, bladder retraining
Drug - tamulosin, finestaride
TURP (SE impotence)/TUIP/TULIP

5

Renal calculi:
Signs&Symptoms

Colic - excruciating loin to groin in spasms
Nausea, vom
Can't lie still
UTI
Haematuria
Proteinuria
Sterile pyuria
Anuria
Renal angle tenderness

6

Epididymal cyst

Separate from testis
Lie above and behind
Clear or milky (spermatocele) fluid
Remove if symptomatic

7

Hydrocele

Not separate
Fluid in tunica vaginalis
Primary from parent TV - larger and in younger patients
secondary is from trauma, infection, tumor
Can resolve spontaneously or aspirate or surgery

8

Epididymal-orchitis:
Presentation and causes

Separate
Chlamydia, E. coli, mumps, gonorrhea
Sudden onset tender swelling, dysuria, sweats/fever

9

Epididymo-orchitis:
Ix and Tx

First urine catch
Look for urethral discharge
STI screen
Possible infertility, gets worse before improving
Analgesia and ABx

10

Varicocele

Separate
Dilated veins
Bag of worms
Dull ache
Sub fertility
Surgery for repair but doesn't help fertility

11

Haematocele

Not separate
Blood in tunica vaginalis post trauma
Needs draining