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GU 8 Bladder D/O
Bladder and Ureteral Disorders
| Question | Answer |
|---|---|
| What biostatistical calculation looks at individuals with and without dz and determines the likelihood of exposure to a risk factor? | Odds ratio |
| What is the empiric tx for pneumonia in a 2 month old? In a 2 year old? | 2mo: macrolide (azithro or erythro) +/- cefotaxime. 2yo: amox or ampicillin |
| Which RTA is a/w abnormal HCO3- and rickets? | Type 2 (proximal) |
| Safe drugs to treat UTI in pregnant woman? | Nitrofurantoin, amox or ampicillin, or cephalosporins x7d |
| 3 drugs for treating UTI? How long to treat uncomplicated? How long to treat relapsing infxn? | Amox, bactrim, or fluoroquinolone x3d. x14d if relapsing. |
| MC type of bladder cancer? What is it a/w? | Transitional cell. Tobacco smoking |
| What is a/w squamous cell CA of the bladder? | Schistosoma hematobium in developing countries. Also want to evaluate these pts for TB. |
| Where is adenocarcinoma of the bladder usually found? | On the dome. Urachal remnant. |
| Painless, gross hematuria in a 45yo male smoker. Likely dx? | Bladder CA |
| Initial diagnostic study for suspected bladder CA? | Cytoscopy with biopsy if lesions are visualized |
| What is the next step in the mgmt of a woman with uncomplicated cystitis? | Abx x3d. Treat empirically with cipro, amox, bactrim, cephalexin, or nitrofurantoin. |
| What are the risk factors for developing bladder cancer? | Smoking, aniline dye, Schistosoma haematobium, cyclophosphamide, recurrent UTI, petroleum byproducts, male sex |
| A 72yo smoker presents with painless gross hematuria. WHat study should you order to confirm the dx of bladder cancer? | Cytoscopy and biopsy |
| What are the 3 main types of urinary incontinence? | Stress, urge, and overflow |
| What diagnostic tests will confirm the dx of overflow incontinence? | Bladder US or catheterized post-void residual test |
| WHat is the first step in treating bladder outlet obstruction? | Place Foley to relieve obstruction and decompress the bladder |
| A pt has signs of peritonitis 6h after sustaining blunt trauma to a fully distended bladder, and you are suspicious of a rupture of the bladder. What portion of the bladder must have been injured to allow for a chemical peritonitis to develop? | Dome (only portion covered by peritoneum; rupture of other parts would be contained in the pelvis) |
| What are the risk factors for stress incontinence? | Obesity, multiparity, femal, h/o urethral or prostatic surgery |