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17 Cards in this Set
- Front
- Back
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: The only zones of the prostate you can feel are the _ and _
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peripheral zone and part of the central zone.
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The_ zone is where most BPH and 20% of adenocarcinoma occurs.
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transition
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The _zone is where most adenocarcinomas and most prostatitis occurs.
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peripheral
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#1 urologic diagnosis in men <50.
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Prostatitis
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Prostate is “boggy”, end catch urinalysis shows bacteriuria. PSA levels may be elevated. Dx?
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Prostatitis
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Pt presents with fever, chills, dysuria, and perineal or low back pain. PE reveals a warm, tender prostate with induration ( alittle harder than normal). Lab shows elevated WBC with positive UA. DX?
How do you treat? |
Acute Bacterial Prostatitis
hospitalization if acutely ill, IV antibiotics and orals with gram negative coverage |
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Pt presents with pain, dysuria, frequency, nocturia, weak stream, pain on ejaculation. PE shows normal or enlarged prostate with palpatory pain. Labs show 10 x WBC in EPS or VB-3 (post massage urine) Dx?
How do you treat? |
Chronic bacterial prostatitis
gram neg coverage for 6 weeks |
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Pt presents with pain, dysuria, frequency, nocturia, weak stream, pain on ejaculations. Lab shows EPS with WBCs (inflammatory), but no growth of bacteria
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Inflammatory Chronic Non bacterial Prostatitis
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Typical prostatitis in young men? (ages 20-50)
How do you treat? |
Noninflammatory CPPS (aka Prostatodynia)
Warm baths, prostatic massage, NSAIDs, alpha blockers to relax detrusor |
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intense pain and hematuria are hallmarks of what condition?
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Nephrolithiasis
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Calcium Oxalate stones require _ urine for formation.
If the patient has hyperoxaluria, what is the tx? |
alkaline urine
calcium supplements |
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If you are excreting > 4 mg/24 hours of Ca, then the #1 cause of kidney stones is _
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increased intake of calcium
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What is the radiology of calcium oxalate stones?
Magnesium ammonium? |
Opaque, round, multiple
opaque, staghorn |
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Pt has hx of multiple UTIs with urease producing organisms (Proteus). What type of kidney stone would you expect in this patient?
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Magnesium Ammonium
(opaque, staghorn) |
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What type of stone is radioopaque (can not be seen on film)?
How do you treat this stone? |
uric acid stone
Alkalize the urine, increase fluid intake |
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Alkaline urine is a contributing factor to _ stone, but it is the treatment for _
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Calcium oxalate
Uric acid and Cystine stones |
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Patient presents with intense flank pain, with no dysuria. Emesis, ileus are common. (+) punch test. Radiology shows hexagonal shaped crystals. Dx?
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cystine stones
Treatment: increased volume intake, alkalinization of urine. Ultrasonic lithotripsy. |
