Urological/ Renal Cmsrn Questions And
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genitourinary foreign body treatment - ANSWER✔✔endoscopy, surgical removal
by suprapubic cystotomy, and urethrotomy
cystomy - ANSWER✔✔incision into the urinary bladder
urethrotomy - ANSWER✔✔a surgical incision into the urethra for relief of a
stricture
dysuria - ANSWER✔✔painful urination
noctuira - ANSWER✔✔excessive urination at night
UTI male common cause - ANSWER✔✔inflammation of the prostate gland, the
epididymis, testes, kidney, bladder, urethra, unprotected sexual intercourse
Epididymis - ANSWER✔✔A long, coiled duct on the outside of the testis in which
sperm mature.
uti s/s - ANSWER✔✔Urgency, frequency, fever, cloudy urine, possibly pelvic pain,
hematuria, itching/burning, possible cramps or bladder spasms, enlargement of
inguinal lymph nodes
male: penile discharge, scrotal masses and tenderness
UTI treatment - ANSWER✔✔abx, fluid resuscitation, antipyretic, analgesics, and
urinary analgesics
antipyretic - ANSWER✔✔a drug that relieves fever
emergency care for UTI - ANSWER✔✔prompt/ fast identification of any
obstructive pathology,
treatment of infection and pain,
, preservation of kidney function,
prevent systemic diseases
priapism - ANSWER✔✔the enlargement of the penis that is unrelated to sexual
stimulation and is unrelieved by ejaculation
Low Flow Priapism Treatment - ANSWER✔✔aspiration of fluid from the corpora
cavernous at the base of the penis, with or without saline irrigation, which is an
effective treatment in 30% of cases
if aspiration and irrigation is unsuccessful, a vasoconstrictive agent such as
phenylephrine can be instilled at 5-minutes intervals until the erection is entirely
resolved.
all failed, then surgical placement of s shunt
high-low priapism treatment - ANSWER✔✔cauterization and/or evacuation of the
areas of bleeding
identification of cause
high-flow priapism - ANSWER✔✔abnormal arterial blood to the penis as a result
of trauma ti the GU system
common cause of priapism - ANSWER✔✔children with sickle cell diseases has
low-flow priapism
dialysis
vasculitis
spinal cord stenosis
renal cancer
medication (heprain, cocaine, and omeprazole
Nephrolithiasis - ANSWER✔✔• kidney stones (calcium oxalate or calcium
phosphate)
common cause: insufficient fluid intake
nephrolithasis common lab - ANSWER✔✔CBC, coagulation studies, kidney
function tests, and C-creative protein
ultrasonography, KUB film, CT scans
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