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