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Define Bugbee electrode
used to coagulate small areas, usually following a bladder biopsy
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Define cyrptorchidism
condition in which one or both testicle fails to descend to final destination in scrotum after the 1st year of life
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Define epispadias
congenital condition marked by the absence of the anterior wall of the urethra
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Define guidewire
guides stents dialtors, baskets and other devices into the ureters
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Define hilum
medial border that receives blood vessels
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Define nephrolithiasis
kidney stones
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Define nephrolithotomy
removal of a kidney stone through surgical incision into the kidney
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Define pheochromocytoma
tumor affecting the adrenal medulla
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Define phimosis
condition affecting the penis
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Define polycycstic kidney disease
multiple fluid filled benign cysts in the parenchyma of the kidney
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Define prepuce
the portion of the skin covering the distal bas of penis that forms a free fold
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Define pyelolithiasis
stones with in the renal pelvis
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Define simple orchiectomy
removal of only the testis and epididymus
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Define testicular torsion
the testicle is twisted with in the scrotum usually requires immediate medical attention
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Define urethrostenosis
abnormal narrowing of the tube that carries urine out of the body
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Define varicocelectomy
repairs an abdomen dilation of the spermatic veins in the spermatic cord that drains the testicles
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Define vasectomy
male sterilization procedure
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Know at what age the aggressive type of testicular malignancy occurs
20-40
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Know how sounds should be set up for a case
smallest to largest
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Know how trauma can occur to the GU tract
External and Internal
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Know if family history has any bearing in the diagnosis of polycystic kidney disease
yes
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Know if renal transplant techniques vary for adults and pediatrics
yes
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Know the four traditional approaches for prostate removal (SA)
- TURP
- Retropubic prostatectomy
- Suprapubic prostatectomy
- Perinal prostatectomy
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Know the name of the proximal portion of the male urethra
prostate
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Know the purpose of renal cooling (SA)
technique used to preserve renal function during an episode of planned prolonged arterial occlusion of the kidney or portion of kidney that is to remain in the patient or for kidney that is going to be used for donation
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Know the symptoms of Cushing’s syndrome
- Hirsutism (hairiness)
- glucose intolerance
- emotional instability
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Know what a lumbar incision is used for
- adrenalectomy
- renal biopsy
- removal of a small low lying kidney
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Know what a Marshall-Marchetti-Kranz procedure can be performed in conjunction with
hysterectomy
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Know what a resectoscope is used for
used for excise prostatic tissue
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Know what a seizure that occurs during a TURP an indication of
a seizure is a late sign of systemic absorption of the irrigation fluid
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Know what a suprapubic prostatectomy is
involves an incision into the bladder to remove the prostate en bloc
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Know what Addison’s disease affects
adrenal glands
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Know what an Ellik evacuator is used for
used to collect specimen
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Know what an ileal conduit is
diverts urine flow through a loop of bowel
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Know what an IVU involves the use of
injection of a contrast medium into the patients vein
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Know what artery provides blood supply to the bladder
vescial artery
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Know what artery provides blood supply to the kidney
renal artery
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Know what can happen during the manipulation of a pheochromocytoma
intraoperative hypertension
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Know what can reduce mild stress incontinence
may be reduced following an anterior colporrhaphy
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Know what causes stress incontinence
- distorted during child birth
- natural results of aging
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Know what fluid is acceptable to use during a TURP
glycine
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Know what incision is typically used for a radical orchiectomy
Inguinal incision
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Know what indicates Cushing’s disease
over production of cistiol by the cortex of the adrenal gland
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Know what KUB and IVU stand for (SA)
- Kidney Ureters Bladder
- Intravenous urogram
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Know what MIBG is designed to detect
pheochromocytoma
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Know what portion of the kidney contains the glomeruli
cortex
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Know what position is needed for the flank incision
lateral position
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Know what PSA is a test for
prostate cancer
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Know what Randall stone forceps do
grasping renal stones
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Know what suture is used for closure of a ureterotomy
close with a 6-0 absorbable suture
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Know what the adrenal gland secretes
epinephrine and norepinephrine
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Know what the bladder can be filled with if seeding of malignant cells is a concern
formalin
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Know what the brand name Renografin indicates
iodine concentration appropriate for use in urinary system
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Know what the catheter deflecting element does
used to direct catheter into ureteral orifice fits into cystoscope sheath
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Know what the Gibson incision is
designed for access to the lower portion of the ureter
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Know what the glomerular capillary endothelium does
restricts movement of blood, cells and large molecules
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Know what the majority of urinary calculi are made of
calcuim
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Know what the most common abdominal pediatric tumor is
Wilm's
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Know what the O’Connor shield is used for
used for rectal exams to palpate the prostate
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Know what the suprarenal arteries feed
adrenal glands
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Know what the stone basket does
removes renal calculi via an ureteroscope or cystoscope
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Know what the term working element refers to
resectoscope
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Know what the trigone is
important clinical landmark marked by the ureteral and the urethral orifices
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Know what the white blood count must be over to indicate infection
10,000
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Know what to anticipate if the pleural cavity is opened
chest tube placement
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Know what type of dialysis the dialysate is drained by gravity
CAPD
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Know what Van Buren urethral sounds are
male sound line up from smallest to largest on the back table
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Know where donor kidneys come from
- living relatives
- nonrelated living donors
- cadavers
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Know where the vascular supply for the ureters in the pelvic section come from
branches of the superior and inferior vesical artery
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Know why the right kidney is slightly lower than the left
liver
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Understand adrenalectomies
- Tumer can always be removed endoscopially
- Open adrenalectomies always involves the removal of the upper pole of the kidney
- Postadreanlectomy does not require lifelong hormone replacement therapy
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Understand bladder tumors
- Malignant tumors usually occur in people over 50
- Common symptom hematuria (blood in urine)
- Tendency to recur
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Understand circumcision
procedure can be done on infants with no anesthesia
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Understand ESWL
- Often a mobile lithotripter is purchased cooperatively or owned by a private corporation and leased to different sites
- Noninvasive method of pulverizing urinary calculi so that smaller fragments may be removed from the body with the urine
- Requires expensive, highly specialized equipment
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Understand the female urethra
- Travels in front of the posterior portion of the vagina
- Is surrounded by muscle fibers that form the urethrovaginal sphincter
- is separated from the vagina by areolar tissue
- 4 cm long
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Understand instrumentation for transurethral procedures
- More complex & unique than Gu surgery
- The bridge is used to accommodate the extra length of the telescope & may have additional ports for introduction of items such as catheters
- Flexible transurethral scopes can be used to visualized the KUB
- Working elements of resectoscope can be used with variety of cautery loops, balls, & blades
- Obturator is a hollow stainless steel tube that may have a port outfitted with inflow and outflow ports
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Understand nephrectomy
Open simple nephrectomy can be performed for excision to be used for transplant
Subtotal nephrectomy involves the excision of either pole of the kidney and can be performed to excise small cancers of the kidney
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Understand orchiectomy
- Removal of only the testis and epididymus
- Patient is placed in supine
- Inguinal approach may be necessary for malignancy (radical)
- A testicular implant may be used
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Understand renal transplant from a living donor
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Understand the Foley catheter process
can not be inflated if there is no urine flowing to the tubing
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Understand vasovasotomy
requires the use of a microscope
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