泌尿外科总论英文教学课件.ppt

* * Physical examination of the genitourinary tract kidney inspection：fullness? palpation： percussion：infection? auscultation：renal artery stenosis bladder inspection：fullness？ percussion：chronic retention? * * Physical examination prostate：size, consistency, nodulation Prostate massage: prostatic secretion (WBC 10/HP) acute prostatitis × Seminal vesicles: not palpable normally * * scrotum Testis, epididymis, spermatic cord Hydrocele? Hernia? Varicocele transillumination: light transmitted? Vas deferens： * * Urologic laboratory examination Urine collection： fresh urine, clean-voided midstream specimen retraction of the foreskin， menstruation avoided * * Urologic laboratory examination Gram’s staining Tuberculosis Bacterial culture and colony count： 105 / ml urine ---- infection? Urine cytology * * Specific examination Catheterization and dilation of urethra Radiology：KUB, IVU, urethrography Cystoscopy: retrograde urograms Ureteroscopy Percutaneous antegrade urograms Urodynamic studies lymphangiography Ultrasound * * * * CT MRI Renal arteriography Radionuclide imaging GFR upper urinary tract obstruction Specific examination * * IVP 40’ * * * * 异位肾(右侧、同侧) * * 挛缩膀胱(TB) * * * * * * * * * * * * * * 右输尿管癌 (逆行) 连接部狭窄 (逆行) * * cystoscope * * Double-J stent * * ureteroscope * * nephroscope * * nephroscope * * cystoscopy * * cystoscopy * * cystoscopy * * bladder tumor * * Bladder stone * * 血尿，尿频，伴随症状 Thank you * * UROLOGY * * * * Male genitourinary tract Female urinary tract Adrenal gland * * * * kidney ureter bladder prostate seminal vesicles urinary sphincter urethra vas deferens testis epididymis * * Common diseases in Urology Urinary stone disease Prostate disease Tumor Tuberculosis infection，congenital，trauma * * Symptoms of disorders Examination