Genitourinary

Question 1

A child comes in with scrotal pain, swelling, and mild discoloration. He has been vomiting also. What’s your next step?

Answer 1

IMMEDIATE SURGERY; any suggestion of testicular torsion requires immediate surgery

Question 2

your patient with a history of BPH is having hematuria and urinary retention with occassional weak urinary stream, but no other symptoms and normal creatinine; what is your next step

Answer 2

cystoscopy (hematuria warants a workup even if the patient has BPH)

Question 3

what is the most important risk factor for bladder cancer

Answer 3

smoking