GU peds exam 2

Card Set Information

Author:
Anonymous
ID:
299031
Filename:
GU peds exam 2
Updated:
2015-03-23 19:48:03
Tags:
peds
Folders:
peds
Description:
peds
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. size of nephrons increase
    over 1st 5 years of life

    • efficiency increases with age
    • -less able to concentrate urine
    • GFR 30% fo adult level at age 1
  2. bladder capacity
    • increases with age
    • ureters are short
  3. Gu develops same time as
    auricle
  4. care of uncircumcised penis
    • after retraction occurs, retract and clean with soap and water
    • NEVER FORCE
    • ALWAYS REPLACE AFTER CLEANING
  5. circumsision indications
    • STD prevention
    • decreased # of UTIs (1% to 0.1%)
    • penile cancer (rare) : prevention is hygiene 

    • consent 
    • not precise with NB
  6. postpone circumsion if
    • buried penis 
    • large hernia
    • small, ambiguous genital,
    • hypospadias
  7. circumcision pain control
    • tylenol
    • local penile block
    • sucrose 
    • white noise
  8. complications of circumcision
    • bleeding
    • swelling
  9. delayed complications of circum
    • trapped penis
    • suboptimal cosemsis 
    • adhesions, skin bridges
    • meateal stenosis
  10. before circum
    • consent signed
    • schedule prior to next feeding
    • prepare equip
    • restrain on board, keep warm
    • adminster meds, sweeties
  11. after circum
    if Gomco used: apply vaseline gauze to penis

    after it falls off: apply vaseline to diaper area at circum site for 24 hours
  12. Phimosis
    • resolves 3-5 years
    • LEAVE PENIS ALONE
    • can occur due to infection, forceful retraction
    • signs: unable to retract foreskin
    • -ballooning of foreskin while peeing
    • Treatment: steriod application 4-6 weeks, cir, dorsal slit
  13. Cryptorchidism
    • undescended testes
    • normally descended by: 7-9 mon of gestation
    • causes: testosterone deficient, absent/defective testes, structural problem, short spermatic cord or adhesions

    higher temp in abd may damage: infertility and malignancy
  14. Cryptochidism
    • commonly found on NB assessment
    • associated with inguinal hernia
    • US, CT, MRI, used to locate testes
    • IF NOT descended by 12 months: surgical procedure(orchiopexy)
  15. Paraphimosis-STAT
    • inability to replace foreskin 
    • -hospital cath
    • -child

    • treatment: ice with penile block for pain
    • compression, squeeze out edema
    • then gently reduce
    • may need surgery
  16. Meatal stenosis
    • after circumcision
    • signs occur after potty training:
    • thin, deflected urinary stream
    • straining 
    • dysuria
    • terminal hematuria

    surgical repair if bothersome
  17. Cryptorchidism postop
    • bedrest
    • monitor voiding
    • ice to surgical site
    • sponge bath for 2 days after
    • identify s/s infection
    • analgesic for pain
    • DO NOT STRATTLE ACROSS HIP 
    • no strenous activity or riding straddle toy for 2 weeks after
  18. inguinal hernia
    • painless, scrotal swelling when bowel falls into inguinal canal
    • common in males

    signs: swelling of scroctum , round, smooth, nontender mass; more apparent when crying/.straining ; reducible (not recommended for routine exam(

    treatment surgical usually after 3 months to avoid incarceration 

    incarceration=surgical emergency
  19. hydrocele
    • "lights up"
    • collection of fluid in the scrotum 
    • very common
    • resolves spontaneously with time
    • dx with transillumination
  20. testicular torsion-STAT
    • testes suddenly rotate on speramtic cord and cuts off blood supply to testis
    • leads to vascular engorgement and ischemia 
    • can occur in adulthood 
    • 2/3 cases: 12-18 yrs

    signs: severe pain, scrotal swelling, discoloration, N/V, abd pain, tenderness

    • usually have NORMAL UA
    • surgery within 6 hour to save testes
  21. bladder exstrophy
    • rare 1 in 35,000-40,000 NB
    • bladder extrudes through abd wall, bladder tissues abnml, wide pubic symphsis 
    • most common in males
    • failure to abd wall to close
    • urine leaks onto skin
    • severity varies
    • repair: cover with plastic wrap 
    •   -primary closure 48-72 hours after birth
  22. epispadias
    • meatal opening on DORSAL side of penile shaft
    • broad, spacelike penis
    • opening may extend down the entire shaft
    • dx made on NB exam
  23. hypospadias
    • abnormal location of the urethreal meatus, occuring anywhere on the ventral surface of the shaft
    • fairly common defect 1 in 200-300 boys
    • dx: made on 1st exam
    • repair by 1 year of age
    • DO NOT CIRCUMSIZE!!
  24. Hyposadias nursing considerations
    • testosterone therapy prior to surgery
    • stent for urinary drainage
    • do not dislodge stent, double diaper
    • immoblize of UEs
    • encourage fluid intake
    • strict I/O
    • no tub bath until stent or catheter is removed

What would you like to do?

Home > Flashcards > Print Preview