Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
Dx'c test for DI
Next test to differentiate DI |
WATER DEPRIVATION TEST
indicates DI DESMOPRESSIN TEST: Central DI: urine Osm rises after DDAVP admin Nephrogenic DI: urine Osm does not rise after DDAVP admin |
|
|
Sign/dx:
pt unable to completely inspire due to pain during palpation of RUQ |
murphy's sign/acute cholecystitis
|
|
|
What is MC EKG finding in PE
|
Sinus tachycardia
|
|
|
classic sx's of BPH
|
urinary hesitancy
frequency urgency nocturia weak or intermittent stream |
|
|
how is BPH diagnosed
|
RULE OUT OTHER CAUSES:
1. digital rectal exam (detect malignancy) 2. urinalysis detect hematuria) 3. serum Cr (detect possible renal/prerenal ds) OPTIONAL TESTS: serum PSA postvoid residual max urinary flow rate |
|
|
next step in a px with suspected BPH on digital rectal exam and elevated PSA
|
transrectal US guided biopsy
|
|
|
Rx for urethritis in men
|
ceftriaxone IM + doxycycline x 10 days
|
|
|
two classes used to Rx BPH
|
a1-blockers (e.g. terazosin & tamsulosin)
5a-reductase inhibitors (e.g. finasteride) |
|
|
what should you suspect in a px with prostate cancer and an elevated alk phos
|
bone mets
|
|
|
how can you differentiate testicular torsion and epididymitis
|
TORSION
Onst: abrupt a/w physical activity Infection: none PE: testical is raised & horizontal; absent cremasteric reflex; support of testicle does NOT change pain US: shows compromised blood flow EPIDIDYMITIS: Onset: subacute Infection: a/w STD &/or anal intercourse PE: testicle in normal position & lie; cremesteric reflex present; support of testicle DOES decrease pain US: normal blood flow |
|
|
Rx for torsion
|
detorsion with bilateral orchioplexy within 6 hrs
|
|
|
Rx for epididymitis
|
< 35 y/o
(GC/chlamydia) --> ceftriaxone IM + doxycyline x 10 days > 35 y/o or h/o anal intercourse (enterobacteriaceae) --> TMP-SMX or FQ x 10-14 days |
|
|
what causes a varicocele
|
dilation of the pampiniform plexus
|
|
|
what does a color doppler show on US of varicocele
|
retrograde flow in scotom
|
|
|
a right sided varicocele is a/w
|
RCC
|
|
|
what is the MC germ cell tumor of the testes
|
seminoma
|
|
|
what is the workup in erectile dysfunction
|
Total testosterone
PRL TSH +/- PSA |
|
|
Tx of testicular cancer
|
"Eradicate Ball Cancer"
Etoposide Bleomycin Cisplatin |
