Hernie incarcérée vs strangulée
Incarcérée : ne peut être réduite
Strangulée : compromised vascular supply
Hernie inguinale indirecte : via canal inguinal
Hernie directe : via faiblesse paroi abdominale (triangle Hesselbach)
Urology
Hydrocele is a fluid collection within the (?) surrounding the testis.
tunica vaginalis
INDOLORE ON ITS OWN + TRANSILLUMINABLE
Peut cacher une tumeur testiculaire
Urology
A varicocele is an abnormal dilatation of the veins of the (1) plexus and internal spermatic vein of the spermatic cord.
(2. Right/left) varicoceles are most common.
The significance of a varicocele is its association with (3)
- pampiniform
- LEFT
- infertility
Unilateral right-sided varicoceles are rare (noted in only 2% of cases) and should suggest the possibility of compression or obstruction of the inferior vena cava (e.g., tumor and thrombus).
Torsion testiculaire = negative blood flow = URGENCE
Only one is associated with cystitis…
Épididymite
QSJ
Taux de mortalité de 50%
Douleur aiguë disproportionnée des organes génitaux et de la nécrose cutanée rapide sur un terrain souvent diabétique.
Gangrène de Fournier
QSJ
(?) refers to a condition characterized by acute pyelonephritis complicated by obstructed hydronephrosis.
Pyonephrosis
(?) presents with sudden onset of chills, high fever, and low back and perineal pain. Patients have frequency, urgency, dysuria, and varying degrees of bladder outlet obstruction. Generalized malaise with arthralgias and myalgias is common. The prostate is exquisitely tender and swollen on digital rectal examination. Prostate massage should not be performed. The organism (usually E. coli) can generally be cultured from the voided urine.
Acute bacterial prostatitis
Acute epididymitis is an infection of the epididymis acquired by retrograde spread of organisms down the vas from the urethra or bladder. Patients present with heaviness and a dull, aching discomfort in the affected hemiscrotum that can radiate up to the ipsilateral flank. The epididymis will be markedly swollen and exquisitely tender to touch, eventually becoming a warm, red, enlarged, scrotal mass, indistinguishable from the testis. Fever and chills may develop, and patients usually have pyuria and bacteriuria.
Pathogens
In sexually active males younger than 35 years, (1) are the most common organisms. In children and males older than 35 years, (2) is the most common pathogen.
- C. trachomatis and N. gonorrhoeae
- E. Coli
Calculs urinaires
Nommer les 4 types et lequel est le plus fréquent
- Calcium (+ fréquent)
- Struvite (infx)
- Acide urique
- Cystine (génétique)
