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N114 Genitourinary
N114 - Genitourinary dysfunction
Question | Answer |
---|---|
Cystitis | Infection of the bladder |
Urethritis | Infection of the urethra |
Pyelonephritis | Infection of the kidney |
Suprapubic aspiration | Most accurate method to obtain a specimen in children under 2 |
Positive culture | Will contain greater than 100,000 CFU/ml |
Bactrim, Septra, Amoxil | Common antibiotics used. Bactrim & Septra are good GI drugs |
Hydrospadias | Urethral meatus is located behind the glans penis or underside of penis |
Chordee | Downward curvature of penis |
Epispadias | Meatal opening located on dorsal surface of penis |
Hydrocele | Collection of peritoneal fluid in scrotal sac |
Hydrospadias & Epispadias treatment | Surgery is performed, no circumcision is performed. Foreskin used as skin graft to close defect |
Acute Glomerulonephritis | Caused by group A beta strep, inflammation occurs resulting in damaged glomeruli |
Acute Glomerulonephritis symptoms | Hematuria - 3+-4+, hypertension |
Glomerulonephritis treatment | Diuretics, antihypertensives, dietary restrictions, I & O |
Nephrotic Syndrome | Primary - glomerular disease, Secondary - systemic disease |
Nephrotic syndrome symptoms | Massive proteinuria, ascities - fluid in abdomen, urine - decreased in volume & frothy |
Nephrotic syndrome treatment | Primary treatment is corticosteroid therapy, diuretics may be given for severe edema, monitor I & O |
Enuresis | Involuntary voiding of urine |
Primary enuresis | Child has never achieved dryness |
Secondary enuresis | Child has bee dry for at least 3-6 months |
Nocturnal enuresis | Nightime bed wetting - more common in boys |
Diurnal enuresis | Daytime wetting - UTI, diabetes, STD |
Enuresis treatment | Medications - Ditropan - reduces bladder contractions, Tofranis - decreases depth of sleep, DDAVP - vasopressin |