urology Flashcards

(38 cards)

1
Q

imaging good for looking at soft tissue

A

MRI

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2
Q

layers of the ureter

A

outer smooth muscle

inner transitional epithelium

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3
Q

name come causes of urinary retention

A

cancer
constipation
bladder infection
neurological

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4
Q

name some drugs that can cause urinary retention

A

ketamine
alpha andrenergic angonist e.g. clonidine
antimuscarinic drugs, sympathomimetics, tricyclic antidepressants

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5
Q

clonindine is used for

A

hypertension
headache
menopause symptoms

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6
Q

what is a stricture

A

scarring from subsequent inflammation

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7
Q

medical word for stones

A

urolithiasis

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8
Q

tight forskin

A

phimosis

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9
Q

medication for urinary retention

A

opiods and anticholinergics

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10
Q

example of an anticholinergic

A

chlorpromazine

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11
Q

symptoms of urinary retention

A

pain and inability to pass urine

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12
Q

bad affects of catheterisation relieving urinary retention

A

dehydration

electrolyte imbalance

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13
Q

why might you get haematuria after catheter treatment

A

decompression injury - inner most layer of the bladder bleeds

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14
Q

where is BPH mostly found

A

peripheral zone

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15
Q

where is prostate cancer mostly found

A

in the centre

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16
Q

what is the hormone responsible for BPH

A

dihydrotestosterone

17
Q

what does dihydrotestosterone do

A

hyperplasia

inhibits apoptosis

18
Q

when the prostate is removed what should the level of PSA be

19
Q

if the prostate is removed why may there still be some PSA in the blood

A

cancer has metastasized

20
Q

what does the prostate make

A

seminal fluid

21
Q

medical treatment of BPH

A

A1 alphanergic antagonist

5 alpha reductase inhibitor e.g. finesteride

22
Q

how does A1 alphanergic antagonist relieve the symptoms of BPH

A

relax smooth muscle

23
Q

distinctive symptom of pyelonaphritis

24
Q

risk factors for kidney stones

A

diuretics

multiple UTI

25
description of kidney stones pain
colic | loin to groin
26
symptoms of kidney stones
``` Nausea Haematuria Dysuria Frequency Fever Rigors ```
27
why dont we give opioids for pain management in kideny stones
will slow peristalsis and the stone passing
28
what is the pain management in kidney stones
NSAID: diclofenac IM (vommitting)
29
what is the antiemetic for kidney stones and why
metoclopramide | aids peristalsis
30
backflow and swelling of the kidneys
hydronephrosis
31
imaging for renal stones
CT
32
medical management of renal stones
aplha blockers
33
example of an alpha blocker for kidney stones
doxazosin
34
renal stones more common in men or women
men
35
what are most of the renal stones made up of
calcium
36
prevention of kidney stones
treat UTI reduce caffine intake thiazide diuretic
37
example of a thiazide diuretic
chlorothiazide
38
who should get UTI prophylaxis
children only