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HM2 Ped GU
HM2 lilk8tob pediatric GU
| Front | Back |
|---|---|
| Protrusion of the bowel into the groin | Inguinal hernia |
| Fluctuant mass of fluid w/in process vaginalis that presents as scrotal swelling (general term) | hydrocele |
| Process vaginalis is closed, and peritoneal fluid is trapped (fluid is gradually reabsorbed- no treatment needed) | Noncommunicating hydrocele |
| Process vaginalis remains open; changes in intra-abdominal pressure force peritoneal fluid into process vaginalis. Probably will need surgery | Communicating hydrocele |
| Failure of one or both testes to descend into the scrotal sac | cryptorchidism |
| Surgery done to correct cryptorchidism | Orchiopexy |
| If cryptorchidism not fixed: | Risk for reduced fertility and testicular malignancy |
| Urethral opening is located along the ventral surface (underside) of the penile shaft | hypospadias |
| W/ hypospadias, remember: | Do not circumcise! Foreskin is used in surgery |
| Hypospadias may occur with: | Chordee |
| Ventral curvature of the penis- causes constriction of the penis | Chordee |
| Urethra is located on the dorsal surface (top side of the penile shaft) | Epispadias |
| Epispadias may occur with: | Exstrophy of the bladder |
| Extrusion of the urinary bladder to the outside of the body through a defect in the lower abd wall | Exstrophy of the bladder |
| An abnormal increase in the permeability of the glomerulus to plasma protein | Nephrotic syndrome |
| Labs with nephrotic syndrome: | massive proteinuria, hypoalbumineria, hyperlipidemia, edema |
| Why - nephrotic syndrome more susceptible to infection? | peritonitis from migration of intestinal bacteria across the bowel wall and into the peritoneum from the edema) |
| Drug used in nephrotic syndrome | Prednisone (moon face, HTN, infection) |
| Inflammation of the glomeruli which most commonly follows a strep infection | Acute glomerulonephritis |
| Urine in acute glomerulonephritis | a lot of blood, a little protein, cola-colored |
| Which condition has HTN as problem? | Acute glomerulonephritis |
| In this condition, if pt has HA, blurred vision, and is dizzy, you take the BP. | Acute glomerulonephritis - HTN encephalo. |
| Inflammation of the urethra | Urethritis |
| Inflammation of the bladder | Cystitis |
| Inflammation of the prostate gland | Prostatitis |
| Inflammation of the kidney and renal pelvis | Pyelonephritis |
| If infant under 2 mos has temp over 100.4: | Do a urinary tract evaluation |
| Infant signs of UTI: | fever, abd pain, persistent diaper rash |
| Toddler w/ UTI: | vomiting and diarrhea |
| Best test for UTI | urine culture w/ sterile container (not sterile bag) |
| Drug for children with UTI | Bactrim with plenty of water |
| Bactrim (UTI) ok for what age? | 2+ |
| Ideal Urine pH | 5 |
| Involuntary urination at an age when voluntary control should be present | Enuresis |
| Child has never established urinary control | Primary enuresis |
| Primary enuresis is a concern at age: | 6 |
| Child has been in control of urine for 6-12 months, then begins wetting again. | Secondary enuresis |
| Drugs used for enuresis | imipramine, ditropan |
Created by:
lilk8tob
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