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N114 Genitourinary

N114 - Genitourinary dysfunction

QuestionAnswer
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
Created by: jrb265
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