"urology" Post in this tag
types of nephrolithiasis
80%→calcium
calcium oxilate>calcium phosphate (facters:hypercalcemia,hypercalceuria,hyperoxaluria,hypocitraturia)
15%→struvite(infection) ↓pH
(ammonium magnesium phosphate)
caused by urease+ bugs infection(proteus mirabilis,staphylococcus saprophyticus,klebsiella)
5%→uric acid
renal
urology
HirotoShishido
RCC treatment
surgery,immunotherapy(recombinant interleukin-2 e.g. aldesleukin)
resitant to chemotherapy and radiation
renal
urology
HirotoShishido
RCC blood vessels
invade renal vein→if LEFT sided, may develop varicocele(精索静脈瘤)→IVC→hematogenous spread→metastasis to lung and bone
urology
renal
HirotoShishido
transitional cell carcinoma(TCC)
risk factors
Pee SAC
phenacetin,smoking,aniline dyes,cyclophosphamide
urology
renal
HirotoShishido
typical symptoms of adenocarcinoma of bladder
mucusuria and abdominal mass can indicate urachal adenocarcinoma
renal
urology
HirotoShishido
prevention of honeymoon cystitis
drink lots of fluids after the sexual intercourse so bacteria might be flashed out
urology
HirotoShishido
complications of acute pyelonephritis
chronic pyelonephritis,renal papillary necrosis(worse prognosis),perinephric abscess,urosepsis
urology
renal
HirotoShishido
acute bacterial cystitis risk factors
female gender,sexual intercourse,indwelling catheter,diabetes mellitus(hyperglycemia inhibit phagocytosis in bladder),impaired bladder emptying
microbiology
urology
reproductive
HirotoShishido
benign prostatic hyperplasia(BPH) pathogenesis
(5α-redactase convert testosterone into dihydrotestosterone,DHT)
after 30yo,testosterone production decline by 1% every year
meanwhile,5α-redactase increase with age
eventually, more DHT allows luminal and basal cells in the prostate to keep growing and multiplying
urology
reproductive
HirotoShishido
BPH symptoms
(start when prostatic urethra obstructed)
dribbling(weak stream of urine)
dysuria(pain during urination)
have to strain when urinating
hesitensy(trouble initiating urination)
nocturia
reproductive
urology
HirotoShishido
pathway of sperm during ejaculation
SEVEN UP
seminiferous tubules 精細管
epididymis
vas deferens 輸精管
ejaculatory ducts 射精管
(nothing)
urethra
penis
reproductive
urology
HirotoShishido
尿路結石 女性で少ない理由
女性ではクエン酸が高い傾向にあり、クエン酸(citric acid)はカルシウムをキレート(chelate)するため尿路結石できにくくなる。
urology
HirotoShishido
most common cause of bladder outlet obstruction in male infants
diagnosis,treatment
posterior urethral valves(PUV,後部尿道弁)
diagnosis
-prenatal: on ultrasound dialated or thick-walled bladder
-postnatal: voiding cystourethrogram(VCUG)
treatment
-prenatal: risky, resrerved for severe cases
-postnatal: transurethral catheter ablation
reproductive
urology
HirotoShishido
which histological pattern of BPH does best respond to finasteride?
predominant epithelial hyperplasia>> predominant stromal hyperplasia(collagen or smooth muscle predominance)
reproductive
urology
UWorld
HirotoShishido
More