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Urology

Transcript: Salary for a Urologist: The ability to perform standard techniques, surgical procedures and good practicing skills to successfully treat the patient. Nursing is the profession or practice of providing care for the sick and infirm. Nursing Urology What is a Urologist? The average salary for a urologist ranges from $293,000 to $407,000 a year. Education for Urologist Urologists must graduate from an approved medical school and complete an ACGME accredited urology program of 5 years. One year must be spent in general surgery, 3 years in clinical urology, and a minimum of 6 months in general surgery urology. Skills for a Urologist: A urologist is a physician who has specialized knowledge and skill regarding problems of the male and female urinary tract and the male reproductive organs.

urology

Transcript: Pediatric Genitourinary Trauma Dr. Javanmard Dr. Nicknama Urology department Shohadaye Tajrish Hospital Renal trauma Pediatric Renal Trauma -Flank pain -Gross microscopic hematuria Presentation presentation: Note: absence of hematuria alone does not rule out significant renal trauma in children. physical examination: -CVA Tenderness of flank -Ecchymosis -Hypotension -Tachycardia Physical examination Note: in children, sympathetic tone may sustain normal blood pressure longer than in adults, even with significant blood loss, making hypotension a less reliable sign for significant blood loss in renal trauma Mechanism Mechanism of injury is an important predictor of renal trauma in children: -Rapid deceleration -High velocity injury Note: Other organ system injuries are present in about 50% of cases of pediatric blunt renal trauma including liver, spleen, head, or orthopedic injuries. Imaging Studies for Diagnosis Imaging Fast FAST The FAST examination has low sensitivity in diagnosing renal trauma injuries because it is performed in the emergency department, often by emergency department providers, and is usually utilized to look for free fluid in dependent regions of the abdomen and does not specifically evaluate for organ injuries. When the FAST examination is combined with serial physical examinations for a 24-hour period, a normal FAST examination and normal physical examinations over 24 hours is very good at ruling out any clinically significant renal or intraabdominal injuries. Dedicated kidney sonograph KIDNEY SONOGRAPHY ultrasonography can be used for the initial evaluation of renal trauma in children, but CT is preferred. Abdominopelvic CT scan CT SCAN For hemodynamically stable patients, CT is currently the most sensitive and specific radiologic test to diagnose and rule out genitourinary truma. AUA and EAU trauma guidelines recommend obtaining an IV contrast-enhanced abdominal and pelvic CT scan with immediate and delayed images for the evaluation of renal injury In children, a single contrast phase abdominal and pelvic CT scan, because of a lack of knowledge about recommended imaging. The obvious limitation of this is that the accuracy in diagnosing urine extravasation and isolated ureteral injuries is decreased, is The EAU urogenital trauma guidelines acknowledge that practically, the initial CT scan is often a single phase, and additional phases can be obtained if renal injury is not characterized well enough (often obtained to limit radiation exposure.) High risk criteria Management Some specific findings for grade 4 to 5 injuries on CT scan are associated with subsequent intervention. Medial extravasation of contrast is worrisome for possible ureteropelvic junction disruption and is associated with intervention. Lack of contrast seen in the ureter in the setting of grade 4 injury is associated with subsequent intervention for urine leak in pediatric series. If greater than 25% of renal parenchyma is devitalized, this has been associated with a significantly higher rate of angioembolization. intervention has been associated with the number of these risk factors present. with 1 or fewer risk factors having less than 10% intervention risk and two to three risk factors having greater than 50% risk for interventionand open surgery. Nonoperative Management Protocol The first steps in nonoperative management are to confirm lack of hemodynamic instability and grade the renal injury Manegment Serial HB checking :CBR continued until gross hematuria has resolved and blood counts have remained stable. The duration of bed rest and intensity of observation varies by injury severity. Foley catheter fixing Antibiotic thrapy Ureteral leak : Ureteral leak Another indication for evaluation and potential intervention is urine leak with no contrast seen in the distal ureter on the urogram phase of CT Urinoma The classic triad of a symptomatic persistent urinoma after renal trauma is: Urinoma ipsilateral flank pain low-grade fever ileus Urinoma The classic triad of a symptomatic persistent urinoma after renal trauma is: Urinoma ipsilateral flank pain low-grade fever ileus

Urology

Transcript: Oxalate Hypercalciuria Functional Urology Conclusion Lower Urinary Tract Symptoms Retention Urological Cancers Stone Disease Functional Problems Infections Lithotripsy Endoscopic Irritative Symptoms Obstructive Symptoms Kidney Bladder Prostate Testicular Infecction Congenital Renal Cell Cancer Urothelial Cancer Cancer Urology Supersaturation Stones Diagnosis Calcium Stones Management Lower Urinary Tract Infection Pyelonephritis Epididymo-orchitis Transitional Cell Carcinoma Squamous Cell Carcinoma Calculi XRKUB CTKUB USS Germ Cell Tumours Non-Germ Cell Tumours Acute Low Pressure Chronic High Pressure Chronic Adenocarcinoma Cystine Uric Acid

Urology

Transcript: Urology authorized personnel tests and diagnoses equipments and Consumable items symptoms, diseases and treatments what is Urology general questions Urology ward standards personnel Nurse to patient ratio symptoms diseases treatments PSA Testing for Prostate Cancer Bladder Cancer Tests Cystoscopy (Bladder Endoscopy) Ureteroscopy a kind of TURT laser Lithotripsy kidney stone set general surgery set Hydrocele surgery set varicocele surgery set urology surgery set cystoscopy surgery set Resection surgery set Urethrotomy surgery set foley sonde kidney biopsy needle irrigator portable sonography machine clamp electrohydraulic lithotripter pneumatic lithotripter

Urology

Transcript: Acute Kidney injury Urology topic review Ref) Harrison's Principles of Internal Medicine, 19e, 2015 비뇨기과 6주차 20112539 고성혁

Urology

Transcript: Olivia Landau Urology 2nd Place - Twix 1st Place - M&Ms 3rd Place - Skittles What is Urology? SUMMARY Study of the Urinary system. Conditions a Urologist deals with: Adrenal gland conditions Bladder conditions and bladder leakage Cancer Genital birth defects Kidney conditions Penis and testis conditions Prostate conditions Urinary tract birth defects Example Condition Example condition Urotrauma Injury to the urinary tract or reproductive organ example condition 1 Symptoms can include: Dehydration, a weak/no urine stream, blood in urine, etc. Erectile Dysfunction Most common sex problem that men report to their Dr. "ED is defined as trouble getting or keep an erection that's firm enough for sex." example condition 2 Causes: Being over 50, being obese, smoking, etc. Symptoms include: low self-esteem, depression, mood changes,etc. FOCUS AREA 1 Education A Urologist does the following: Diagnose and treat diseases/disorders of the genitourinary organs and tracts Perform abdominal,pelvic, or retroperitoneal surgeries. Minimum Education *Obtain knowledge and specialize in both male and female genitourinary organs and tracts * Minimum education requirements Five years minimum as a urology resident Two-year minimum as a general surgery resident Three years focusing on general urology residency Roughly 13 years total Main courses Anatomy & Physiology Functional systems Medical cell biology Infectious disease Psychopathology Immunology Microbiology Bio chemistry & Genetics Behavioral sciences and medicine At least 3.8 to stay in most medical programs!! Must have: High School Diploma College choices School Choices University at Buffalo Tuition - $21,510 for a full-time resident John Hopkins Tuition - $48,710 FOCUS AREA 2 Qualifications Personality Required Skills Personality says it all... INTJ Excellent critical thinking skills Discipline & Attention to detail Driven to excel in subjects they are interested in Logical thinking Yes, because I am an Introvert Am I qualified for this Career? Focusing on the big picture Intellectual creativity Required Skills Good organizational Skills Excellent communication skills Ability to deal effectively with people of all ages Ability to lead and manage a team effectively Ability to cope with a busy and demanding role EMT training Not required: CNA certification But helpful FOCUS AREA 3 Pay & Future Outlook Salary $208,000 - $100/hour Payscale.com Salary: $151,758 - $470,830 Bonus: $7,946-$114,720 Benefits Sick/paid leave Vacation days Medical insurance Helping those in need!!! Lifestyle Salary would be beneficial to have a mid-size family Live comfortably Fast-paced lifestyle Could be in a superior position #1 #2 #3 There will always be a need for urologist Medicine and it's technology is always advancing Future Outlook There will always be research to be done https://www.onetonline.org Sources Https://www.urologyhealth.org/urologic-conditions Https://www.payscale.com

Urology

Transcript: Surgeries Works Cited Who do Urologist treat? A. Women B. Men C. Kids D. All of the above Definition Terms Radiation Therapy Chemotherapy Biological therapy Oral Medications Urethral Suppository Bed Wetting Bladder Infections Incontinence Erectile Dysfunction Kidney Stones Injury to the urinary systems Male Infertility Cancer: Prostate, bladder, kidneys, testicle This field corresponds with the... The Excretory System: which deals with the kidney, ureter, urinary bladder, and the urethra The Reproductive System: which deals with the male and female reproductive systems Urology Urologist Treat Question 3 https://www.ucsfhealth.org/conditions/urethral_injuries/index.html http://www.urologyhealth.org/urologic-conditions?q=&filters=105|479| Questions Urologist are both positions and surgeons They have over 15 years of schooling and training Urologist know about internal medicine, pediatrics, gynecology and other medical areas Major Problems What body system does the field correspond with? A. Muscular & Nervous B. Excretory & Reproductive C. Circulatory & Lymphatic Is Erectile Dysfunction something that Urologist deal with? A. Yes B. No What Are Urologist? Question 4 Other Transurethral resection Radical cystectomy Segmental cystectomy Nephrectomy Radical Nephrectomy Radical Inguinal Orchiectomy Lymph Node Dissection Major Organs & Body Parts The branch of medicine that focuses on surgical and medical diseases of the male and female urinary tract system and the male reproductive organs. Although urology is classified as a surgical specialty, knowledge of internal medicine, pediatrics, gynecology, and other specialties is required by the urologist due to the wide variety of clinical problems in patients. Male Penis Testes Scrotum Prostate Question 2 Treatments Question One Female Kidneys Ureters Urethra Bladder Men Women Babies Older Women Older Men Doctors & Professionals How many years of schooling and training should a Urologist have? A. 4 B. 15 C. 8 Do Urologist treat cancer? A. Yes B. No Question 5 Background

Urology

Transcript: Bibliography Peckham, Carol. "Medscape Urologist Compensation Report 2015." Medscape Multispecialty. Medscape, 21 Apr. 2015. Web. 29 Oct. 2015. Study.com. "Urologist: Job Description and Information About Becoming an Urologist." Study.com. N.p., n.d. Web. 29 Oct. 2015. "Urologist Career." Career Research. N.p., 02 June 2014. Web. 30 Oct. 2015. "Urologist Job Description." State University. Net Industries, n.d. Web. 30 Oct. 2015. Provider Characteristics Self-employed urologists earn more over providers that work for a health care system. Career Advancements Some urinary illnesses need surgical intervention. These include bladder/prostate cancer and kidney diseases. Education Job Duties On average, urologists are salaried employees and annualy earn over $340,000. Treat illnesses that affect the urinary system (kidney stones, UTIs, etc) and genitourinary issues. Knowledge in proper charting and documentation Passion for patients and proper bedside manner Expertise and dedication to treating urinary illness Attend a four year undergraduate university Attend medical school for an additional four years and pass board examination Work under an attending physician as a resident for five years Continue learning as new technological developments occur Urology Compensation Various improvements in the OR New pharmacology standards Urologists are doctors, so they... Willing to learn through a lifetime Able to handle up to 125 patient visits a week Commit to long work hours (over 45 hours a week) However, the average income has decreased 1%.

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