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Pediatric Genitourinary Disorders

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Question
Answer
Why is fluid of greater importance in infants and small children?   It constitutes larger fraction of total body weight  
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How long is glomerular filtration and absorbtion low in infants?   Until 1-2 yrs of age  
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What does urodynamics determine?   the rate of urine flow by volume and pressure  
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What does uroflowmetry measure?   efficiency of urination  
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What is a Cystometrogram?   graphic comparison of bladder pressure as a function of volume  
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What is a Voiding pressure study?   comparison of detrusor contraction pressure, sphincter electromyelogram and urinary flow  
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What two procedures assess bladder capacity and function?   Cystometrogram and urethral pressure profile  
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UTIs in children occur predominately in what age group?   2-6 yrs  
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What are the majority of UTIs in children caused by?   80% caused by E.Coli  
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True or False: To collect a urine sample from children you can collect from a mid-stream sample, catheterization, and wet diaper.   False. You can collect from all except wet diaper.  
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What are the common antiinfective agents used for UTI?   *Pencillins *Sulfonamide (trimethoprim and sulfisoxazole in combination) *Cephalosporins *Nitrofurantoin  
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What forms of bathing and bathing accessories should be avoided to reduce risk of UTIs?   *bubble baths *water softeners *hot tubs *whirlpool baths  
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When is recurrance of UTIs most likey, and what symptoms are common?   recurrence is most likely within 1-2 months after infection and is often asymptomatic  
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Repeated UTIs can result in?   Renal scarring, decreased renal function and can contribute to hypertension as an adult  
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What is hydronephrosis?   Distention of the renal pelvis due to an obstruction. The pelvis of the kidney becomes enlarged and cysts form.  
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What is polycystic kidney?   condition in which large, fluid-filled cysts form in place of healthy kidney tissue in the fetus  
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What is nephrotic syndrome?   syndrome refers to a number of different types of kidney conditions that is distinguished by the presence of marked amounts of protein in the urine, edema, and hypoalbuminemia  
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What is the most common classification of nephrotic syndrome?   Minimal change nephrotic syndrome (MCNS), found in approximately 80% of cases  
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What age group is nephrotic syndrome most common in?   2-8 yrs of age  
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True or False: Effective steroid Tx prevents relapse in nephrotic syndrome.   False. Though steroids ARE an effective Tx, most PTs have periods of relapse until the disease resolves itself.  
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What are the S/Sx of nephrotic syndrome?   *Edema (characteristic symptom) *Pale *Listless *Irritable *Poor appetite *Albumin & RBCs in urine *Decreased albumin in RBCs in blood  
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What is the steroid therapy for nephrotic syndrome?   prednisone for 1-2 months  
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When are fluids restricted in a PT with nephrotic syndrome?   when massive edema is present  
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Nephrosis is more common in which gender? Is more prevalent at what ages?   Boys, 2 - 8 years old  
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What is Acute Glomerulonephritis?   (Brights disease)Glomerulus become inflamed and blocked as an allergic reaction to infection in the body  
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How long does Acute Glomerulonephritis (Brights disease) last?   Complete recovery in 10-14 days  
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What specifically does Acute Glomerulonephritis (Brights disease) follow, and how long after?   Strep infections, 1-3 weeks.  
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S/Sx of Acute Glomerulonephritis (Brights disease):   *Periorbital edema upon awakening *Smoky brown or bloody urine *Decreased urine output *Hyperkalemia *Hypertension  
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Tx of Acute Glomerulonephritis (Brights disease):   *Limited activity until gross hematuria subsides *Urine regularly examined *Sodium and fluid restriction; foods high in potassium are restricted during oliguria *Maintain strict intake and output  
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What is a Wilms tumor?   Wilm's tumor (Nephroblastoma) is an embryonal adenosarcoma  
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2/3rds of Wilm's tumor (Nephroblastoma) are discovered when?   Before 3 years of age during routine checkup  
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True or False: Wilms Tumors are found easily on palpation of abdomen.   False, trick question. Do NOT Palpate Abdomen! Avoid handling of the abdomen to prevent the spread of disease  
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What is the diet for PTs with chronic renal failure?   Protein is restricted while sodium and water and not initially limited  
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What may counteract kidney growth failure in children with chronic renal failure?   Growth hormone  
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