selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
B. balloon dilation
could be a complication of chronic epididymitis and orchalgia
testicular torsion must be excluded
infected hair follicles and scrotal lacerations are predisposing factors
urethral discharge is not uncommon presentation
antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic
empirical treatment for gonococcal urethritis should cover chlamydia trachomatis
consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%
vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis
dirty - infected
contaminated
clean - contaminated
clean
is an uncommon granulomatous disease that affect the skin and/or urinary bladder
it might be due to a disturbed function of B lymphocytes
characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)
it might be due to a defective phagolysosomal activity of monocytes or macrophages
might rupture into the collecting system causing (hydatiduria)and renal colic
are formed by the eggs of the tapeworm Echinococcus granulosus
most cysts are asymptomatic but might manifest as flank mass, dull pain, or hematuria
the most reliable diagnostic test uses partially purified hydatid arc 5 antigens in a double-diffusion test
inadequately treated UTI
renal papillary necrosis
acute emphysematous pyelonephritis
urinary tract tuberculosis
cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
nucleic acid amplification tests are the preferred to diagnose Gonococcal and Chlamydial infections
shows dark yellow, purulent, thick urethral discharge
the most common site of the infection is the endocervix
the incubation period is 2 3 weeks
beading of the lower ureteral segment
ureteral fibrosis and calcifications of the distal ureter
stricture at the uretero-vesical junction
all of the above
poor tissue perfusion manifests as hyperlactemia and decreased capillary refill
acute oliguria indicates an organ dysfunction and circulatory collapse
septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation
hypotension is a sign of hyperdynamic circulation at an early septic shock
It is an endophytic tumor of the transitional urothelium
harbors p53 gene mutations
presents with hematuria, dysuria, and irritative voiding
the lesion requires transurethral resection
is a self-limiting infection where antibiotics are not required
is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night
post-coital voiding has no value in the occurrence of the infection
self-initiated medication helps control the infection
von Hippel-Lindau disease
tuberous sclerosis
cystic fibrosis
autosomal dominant polycystic kidney disease
chronic pyelonephritis and HTN lead to ESRD in 10% of the cases
neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring
despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules
neonates have low intrarenal pelvic pressure, that predisposes to ascending infections
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
Coxsackie B
Epstein-Barr
varicella
all of the above
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
necrosis of the superficial and deep fascial planes
fibrinoid thrombosis of the nutrient arterioles
polymorphonuclear cell infiltration
all of the above
is always asymptomatic
it shows a serological immune antibody response
is a common cause of sterile pyuria
typically, at this stage, the body demonstrates bacteriuria
manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine
post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus
the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis
C3, C4, ESR and antistreptolysin O titer are increased
the onset of symptoms is insidious
the lesion has no proven relation to bladder cancer
if left untreated, the bladder will turn small, contracted, with submucosal calcifications
a single positive urine culture refutes the diagnosis
histocytes
T lymphocytes
mast cells
B lymphocytes
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
testicular
renal
penile
all of the above
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria
taking urine samples by draining the urine bag
daily cleansing the external meatus
placing the urine bag on the floor
changing the urine bag once it is full
2
6
7
8
most cysts appear as filling defects on cystography
most often found in the trigone area
the cyst lumens contain esinophilic secretions that may have a few inflammatory cells
cystitis cystica and cystitis glandularis are reactive urothelial changes
early morning sample, after cleansing the perineum and meatus
by urethral catheterization under strict aseptic technique
a clean catch of midstream voided urine
by suprapubic aspiration, as urine is sterile