Kazem
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What are the indications for doing a Urethral Catheterization in children ( Neonates Toddlers, pre-school, school, and adolescents)?
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| chemamr
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i think the same than in adults (urinary retention, etc, etc.)
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| merrk
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yeah... i agree. eg in renal failure... to measure the urine output.
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| drkpp
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phimosis more common in children and some of the other congenital conditions like epispadiasis or hypospadiasis till the surgery is done????????????
sorry guys havent read peds yet so just shooting in dark!!
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| chemamr
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| d_raza1
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yes in acute renal failure to accurately measure the output.
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| merrk
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I dont know drkpp.... how would you cath a pt wiht hypo/epispadiasis, and why would it be needed?
When is the best time to correct these abnormal openings of the ureter? Cicumcision is usually delayed and done at the same time as the surgical correction.
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| chemamr
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ureter or urethra
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| drkpp
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as i said merck i am not too sure of it.
as far as circumcision is concerned in this cases, its always done at the time of surgical corection because the prepusal skin is used in the process. thus it is a contraindication to actually do a circumcision in this setting..time frame again beatsme....
sorry
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| merrk
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this is what I found
Usually, the surgical repair is done when your baby is between 6 and 12 months, when penile growth is minimal. At birth the child will not be able to undergo circumcision, as the extra foreskin may be needed for the surgical repair. The surgical repair can usually be done on an outpatient basis.
one more question? when is umbilical hernia repaired
a at birth
b at 6mth
c 1 yr
d 2yrs
e 5 yrs
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| merrk
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this is what I found
Usually, the surgical repair is done when your baby is between 6 and 12 months, when penile growth is minimal. At birth the child will not be able to undergo circumcision, as the extra foreskin may be needed for the surgical repair. The surgical repair can usually be done on an outpatient basis.
and emedicine says: Currently, most physicians attempt to repair hypospadias when the child is aged 6-18 months. This has been associated with an improved emotional and psychologic result.
one more question? when is umbilical hernia repaired
a at birth
b at 6mth
c 1 yr
d 2yrs
e 5 yrs
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| chemamr
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2 years, because most of them close spontaneously before this age.
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| doc26inder
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Generally we wait till one year so gguess ans is (C ) or D
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| merrk
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I've read 2 yrs so I agree wiht chemamr (kaplan I think). Made the Q up myself. doc2inder what is your source?
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| aliakram
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2 is right
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