FNP2 GU

  1. Jaundice, hypothermia, sepsis, vomiting, lethargy, abdominal distention in neonates.
    UTI
  2. Malaise, irritability, poor feeding, fever, vomiting, malodor, dribbling, abdominal pain in infants.
    UTI
  3. Altered voiding, malodor, abdominal or flank pain, vomiting, enuresis, fever, diaper rash in toddlers or preschoolers.
    UTI
  4. Dysuria, frequency, urgency, malodor, enuresis, abdominal or flank pain, vomiting, fever, chills, malaise 5yrs - 18 yrs
    UTI
  5. What 3 things should make you think UTI with babies?
    • fever
    • hypothermia
    • colicky
  6. What is the most accurate way to test for UTI in kids (esp who are not potty trained)? Second best?
    • suprapubic aspiration
    • sterile catheterization
  7. What is needed to dx a UTI?
    presence of at least 50,000 CFUs per mL of a single pathogen
  8. When should you retest for UTI?
    After finishing abx, so around day 12
  9. Most common abnormality found in kids with UTI.
    Vesicoureteral Reflux (VUR)
  10. _________ is the most common abnormality that contributes to pyelonephritis.
    VUR
  11. Workup for VUR
    • ultrasound
    • VCUG
    • sometimes nuclear scan (less radiation than VCUG)
    • sometimes IV pyelograms if VCUG is (+)
  12. Tx for VUR?
    • Most will outgrow; grade 5 will not usually resolve
    • (refer to nephrology)
    • Grades 1-2 resolve spontaneously in 85%
  13. Most common malignancy of GU in kids.
    Wilms tumor
  14. Wilm's tumor is usually dx by what age? What is the peak age?
    • 5 yrs
    • 3 yrs
  15. Fever, dyspnea, v/d, wt loss, malaise, large belly, firm, smooth abdominal mass.
    Wilm's tumor
  16. When should a baby with cryptoorchidism be referred to urology?
    if hasn't resolved by 6mos
  17. Cryptoorchidism should be repaired by _________ to prevent fertility problems.
    2 yrs old
  18. A foreskin that is too tight to be retracted over the glans penis. When is this normal?
    • Phimosis
    • in uncircumsized males in first 6 yrs of life (primary)
  19. A retracted foreskin that cannot be reduced back to normal position.
    Paraphimosis
  20. What is secondary phimosis?
    foreskin cannot be retracted after previously being retracted
  21. inflammation of the foreskin and glans penis occurring with phimosis or in uncircumcised males
    Balanoposthitis
  22. inflammation of the glans
    Balanitis
  23. Elevation of the testicle will decrease pain with _________ and increase pain with _______; both of these are surgical emergencies.
    • testicular trauma
    • testicular torsion
  24. What, on microscopy, is specific for pyelonephritis? Glomerulonephritis/glomerular damage?
    • WBC casts
    • RBC casts
  25. Gold standard testing for proteinuria.
    • 24-hr urine
    • 24-hr protein to cr ratio
  26. Define hematuria.
    3 or more RBCs per HPF from 2 or more urines
  27. Medical conditions that are RF for UTI.
    • Diabetes
    • Urinary tract calculi
    • Catheterizations
  28. Complicated UTI is if someone has had symptoms how long?
    > 7 days
  29. Most common cause of sepsis.
    UTI
  30. Most common complication of UTI.
    pyelonephritis
  31. Most common bacterial infection in older adults.
    UTI
  32. What foods contain purines?
    meat, seafood, organ meats
  33. What food & drinks contain oxalates?
    • colas, tea 
    • chocolate
    • beans
Author
MeganM
ID
322074
Card Set
FNP2 GU
Description
FNP2
Updated