43 pneumonics

Pediatric GU DifferencesKIDS PEE = Kidneys immature, Inability to concentrate urine, Diaper (short urethra), Surface loss ↑, Pee norms: infant 2 mL/kg/hrUTIFUTI = Fever, Urgency, Trouble voiding, Irritability in infantsUTI TeachingWIPE = Wipe front to back, Increase fluids, Pee after sex, Eliminate bubble bathsVesicoureteral Reflux (VUR)REFLUX = Recurrent UTIs, Empty bladder, Foley care, Low-dose antibiotics, Urine culture, X-ray (VCUG)EnuresisDRIP = Deep sleep, Reward system, Interruption of fluid after 6PM, Psych stressNephrotic SyndromeNAILS = Na+ ↓, Albumin ↓, Increased lipids, Leakage of protein, Swelling (edema)Steroid PrecautionsSIDES = Sugar ↑, Infection risk, Delayed growth, Emotional changes, Slow taperAPSGNPHAROAH = Proteinuria, Hematuria (tea urine), ASO titer ↑, Recent strep, Oliguria, Anti-HTN meds, HypervolemiaHUSHUS = Hemolytic anemia, Uremia, Shiga-toxin (E. coli)AKIDRIP FAILS = Dehydration, Renal insult, Infection, Post-obstruction, Fluids, Acidosis, Imbalance (electrolytes), Lasix, Seizure watchCKD SymptomsA WET BED = Anemia, Weight loss, Electrolytes ↑, Tired, Bone pain, Edema, Delayed growthDialysisDIALYZE = Diet change, Infection risk, Access site care, Limit fluids, Your BP watch, Zinc/vitamin supps, Electrolytes monitoredRenal TransplantTRANSPLANT = Tacrolimus, Rejection signs, Avoid sick people, Nephrotoxic meds avoided, Steroids, Pain meds, Labs weekly, Adherence, No grapefruit, Tremors from toxicityHypospadiasHYPOS = Hole on bottom, Your foreskin stays, Post-op stent, Oxybutynin, Sterile double diaperBladder ExstrophyBLADDER = Bladder out, Lay supine, Apply sterile dressing, Diaper off pre-op, Dry post-op, Emotional support, Refer to urologyCryptorchidismDROP = Descend delay, Risk cancer, Orchiopexy 6–24 mo, Puberty TSEHerniaHERNIA = Hard = emergency, Easily reducible, Refer if >1 yr, No straddle toys, Incision care, Activity restrictedTesticular TorsionTWIST = Testicle pain sudden, Without cremasteric reflex, Immediate surgery, Swelling, Time limit 6 hrsAmbiguous GenitaliaGENDER = Genetics checked, Endo consult, No assigned sex yet, Diagnostic imaging, Emotional support, Refer team