Urology/Renal Error List Flashcards Preview

Internal Medicine > Urology/Renal Error List > Flashcards

Flashcards in Urology/Renal Error List Deck (10):
1

Dx for Erectile Dysfunction

History, Testosterone Levels
Nocturnal Penile Tumescence
Duplex Ultrasound

2

Tx for Erectile Dysfunction

Phosphodiesterase-5 Inhibitors (Sildenafil/Viagra), Tadalafil (Cialis), Verdenafil (Levitra)
Works by increased Nitric Oxide
Testosterone replacement
Intracavernosum Injections
Vacuum Pumps

3

What is Testicular Torsion

Spermatic Cord twists and cuts off testicular blood supply
Due to congenital malformation deformity of process vaginalis which allows testicle to be free floating in tunica vaginalis

4

Sx of Testicular Torsion

Sudden onset of scrotal, inguinal, or lower abdominal pain, N/V
Swollen, Tender, Retracted testicle
Negative Prehn's Sign (no relief of pain with scrotal elevation)
Negative Cremasteric Reflex

5

Dx of Testicular Torsion

Doppler Ultrasound: see reduced flow
Radionucleide Scan is Gold Standard

6

Tx of Testicular Torsion

Detorsion and Orchiopexy if within 6 hours to preserve fertility
Orhciectomy if testicle is not salvagable

7

What bacteria is the most common cause of Uncomplicated UTI

E.Coli

8

Sx of Uncomplicated UTI

Dysuria, Increased frequency, urgency, hematuria, suprapublic discomfort

9

Dx of UTI

Urinalysis: Positive Nitrates (bacteria), HEmaturia
Dipstick: Positive Leukocyte Esterase, Nitrites, Hematuria, WBC
Urine Culture is Definitive dx

10

Tx of UTI

Uncomplicated: TMP-SMX (Bactrim), Nitrofurantoin (Macrobid), Fluoroquinolones (Cipro)
Complicated: Fluoroquinolones, Aminoglycosides (Gentamycin)