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Fascia surrounding kidney
Gerota�s fascia
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Order of renal structures (anterior to posterior)
Vein, artery, renal pelvis
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Location of ureters as compared to iliac vessels
Ureters cross over iliacs
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Most common cause of acute renal insufficiency following surgery
Hypotension
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Diagnostic study for kidney stones
UA, CT noncontrast
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Most common kidney stone type
Calcium oxalate
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Stones common in patients with terminal ileum resection
Calcium oxalate stones
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Stones common in patients with infections (proteus)
Struvite stones
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Indications for surgery for kidney stones (5)
Intractable pain, intractable infection, obstuction, renal damage, solitary kidney
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Surgical treatments of kidney stones (6)
ESWL, ureteroscopy and stone extraction, stent, perc neph tube, open nephrolithotomy, urethrotomy
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#1 cancer killer in men 25-35
testicular
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treatment of testicular mass
orchiectomy through inguinal incision
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diagnostic studies for patient with known testicular cancer (staging)
CXR, CT chest/abdomen
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Diagnostic laboratory value correlating with tumor bulk in testicular tumors
LDH
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#1 testicular tumor
seminoma
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elevated laboratory value in seminoma
beta-hcg
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treatment of seminoma
orchiectomy, XRT
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type of nonseminomatous testicular cancer (4)
embryonal, teratoma, choriocarcinoma, yolk sac
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laboratory markers diagnostic for nonseminomatous testicular cancers
Alpha fetoprotein, beta-hcg
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Most common metastatic sites for testicular cancer
Lungs, retroperitoneum
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Treatment of stage 1 testicular cancer
Orchiectomy, prophylactic retroperitoneal node dissection
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Treatment of stage 2 or greater testicular cancer
Orchiectomy, prophylactic retroperitoneal node dissection, chemo
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Most common lobe where prostate cancer occurs
Posterior
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Most common metastatic site for prostate cancer
Bone
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Morbidity of prostate resection (3)
Stricture, impotence, incontinence
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Size of kidney stone unlikely to pass
>6mm
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treatment for intracapsular, nonmetastatic prostate cancer
XRT, radical prostatectomy
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Treatment for extracapsular invasion or mets in prostate cancer
Leuprolide, flutamide, bilateral orchiectomy, ketoconazole
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noncancerous reasons for elevated PSA (3)
prostatitis, BPH, chronic catheterization
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most common primary tumor of kidney
renal cell carcinoma
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most common location of RCC metastasis
lung
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treatment of RCC
radical nephrectomy, regional node dissection, XRT, chemotherapy
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most common tumor in kidney
metastasis (from breast)
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paraneoplastic syndromes associated with RCC (4)
erythropoietin, PTHrp, ACTH, insulin
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treatment of transitional cell CA of renal pelvis
radical nephroureterectomy
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syndrome with multifocal and recurrent RCC, renal cysts, CNS tumors, pheochromocytomas
Von Hippel Lindau syndrome
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Most common form of bladder cancer
Transitional cell
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Risk factors for bladder cancer (3)
Smoking, aniline dye, cyclophosphamide
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Treatment of T1 (muscle not involved) bladder cancer
Intravesical BCG or transurethral resection
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Treatment of bladder cancer if muscle wall invaded
Cystectomy with ileal conduit, chemotherapy, XRT
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Testicular problem common in teenage males; causes ischemia
Testicular torsion
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Treatment of testicular torsion
Bilateral orchiopexy
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Important techniques to avoid ureteral stricture during repair (4)
Spatulate ends, use absorbable suture, place a stent, place drains to identify/treat potential leaks
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Most common area of prostate involved in BPH
Transitional zone
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Treatment of BPH
Alpha blockers (terazosin, doxazosin), 5-alpha reductase inhibitors (finasteride), TURP
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Hyponatremia secondary to irrigation with water; can cause seizures
Post-TURP syndrome
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Consequence of spinal cord injury above T12; constant urination
Neurogenic bladder
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Consequence of spinal cord injury below T12 (or post-APR); incomplete emptying
Neurogenic obstructive uropathy
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Incontinence due to hypermobile urethra or loss of sphincter mechanism
Stress incontinence
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Incontinence due to involuntary detrusor contraction
Urge incontinence
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Incomplete bladder emptying and enlarged bladder, often secondary to obstruction
Overflow incontinence
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Treatment of vesicoureteral reflux
Reimplantation of ureter
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Treatment of ureteral duplication
Reimplantation of ureter
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Treatment of hypospadias
Repair at 6 months with penile skin
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Ventral defect in penile urethra
Hypospadias
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Dorsal defect in penile urethra
Epispadias
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Connection between umbilicus and bladder
Patent urachus
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Most common cause of pneumaturia
Diverticulitis
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Findings of WBC casts on UA indicate:
Pyelonephritis, glomerulonephritis
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Findings of RBC casts on UA indicate:
Glomerulonephritis
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Treatment of priapism
Aspiration of corpus cavernosum with dilute epinephrine
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Treatment of SCC of penis (and margin)
Penectomy, 2cm margin
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Method to check for urine leak
Indigo carmine or methylene blue
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