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24 Cards in this Set
- Front
- Back
How can you reduce edema to the glans penis? What is this used for?
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Wrapping it with a two inch elastic bandage for five minutes
Tx for para phimosis to prevent gangrene |
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Maldevelopment of this structure leads to increased risk for torsion
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Scrotal ligament
(Gubernaculum) |
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Hydroceles can form in this potential space in the testis
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Tunica vaginalis
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Testicular nodules should be assumed to be what?
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Carcinoma
Until proven otherwise |
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What is Fournier Gangrene
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Polymicrobial, synergistic, infective necrotizing fasciitis of the perineal, genital, or perianal anatomy
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2 comorbidities commonly associated with fourniers gangrene
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Diabetes
Etoh |
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What is balanoposthitis? What can it be the sole symptom of?
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Inflammation of the glans and the foreskin
Diabetes Consider candida gardnerella, and anaerobes as potential causes |
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Tx for phimosis
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Definitive: circumcision
Topical steroid (betamethasone 0.05% to 0.1) once a day for 4-6 weeks is 70-90% effective |
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What is a paraphimosis? Which is a true urologic emergency, phimosis or para?
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Para: true urologic emergency, inability to reduce the proximal erythematous foreskin dismally over the glans penis into its natural position
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Pt presents after intercourse with a non erect swollen do colored and tender penis. What do you need to be concerned for as a result of the diagnosis
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This is a fractured penis
Look for urethral rupture with retrograde urerthrogram |
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Give some causes for priapism
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Injection of vasoactive substances (PGE)
Hydralazine, ccbs Chlorpromazin, Trazodone (mental disorder) Sickle cell |
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No matter the cause of priapism, initial therapy includes what?
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Terbutaline (b2 agonist .25-.5mg SC in deltoid q 30 min
Narcotic analgesia Corporal aspiration followed by irrigation |
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Diff for acute scrotal pain
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Torsion
Epididymitis Incarcerated hernia Vasculitis |
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Most sensitive finding (99%) in testicular torsion is?
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Unilateral absence of cremaster reflex
Other: firm, tender, higher in position, horizontal in lie |
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What is Prehn Sign
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Relief of pain with elevation of effected testis
Usually a positive sign for epididymis but cannot rule out torsion |
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How quickly do you need to diagnose torsion to have good salvage of the testis
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<6 hours from sx
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If ultrasound is equivocal for torsion, what can be used
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Scintigraphy
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How do you attempt to do manual detorsion
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Similar to opening a book
Medial to lateral If standing at pt feet rotate right testis clockwise, left counter Try one and a half rotations |
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What diagnosis must be considered in any male presenting with abdominal pain
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Torsion
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What is the "blue dot sign" seen in
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Appendage all torsin
Seen on upper pole of testis or epididymis,is |
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Tx for suspected epididymitis in Pt under 40
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Treat for gonorrhea and chlamydia
Ceftriaxone 250mg IV PLUS Doxycycline 100mg PO bid for ten days |
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Tx for suspected epididymitis in Pt over 40
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Treat for gram negative bacilli
Cipro 500mg PO bid for 10-14d Levofloxacin 250mg po everyday for 10-14d |
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Initial treatment for acute prostatitis?
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FQs for 30 days
E. coli is working diagnosis |
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What signifies abnormal residual urine volume
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150-200mL
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