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som
Forum Elite Topics: 65 Posts: 358 |
8 mnth boy seen by doc for the first time notices tht there are no testes in the scrotum. Mx: a) immedite surgery b) hcg for 1 mnth, then plan for surgery if still no descent c) obseve 2yrs d) observe 5 yrs e) no Rx, reassurance
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study_ing
| Forum Fanatic  Topics: 179 Posts: 2261
d. (90 % do descend by one year though) but i think we wait for 5..or was it 2
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study_ing
| Forum Fanatic Topics: 179 Posts: 2261
actually im confused !! www.cornellurology.com/pedi...orchidism.shtml#Management
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study_ing
| Forum Fanatic Topics: 179 Posts: 2261
there is a loovely flow chart on mx here but its a nov 2000 article
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som
| Forum Elite Topics: 65 Posts: 358
ans is b study_ing, the link is excellent. i was wondering the role of hcg, and i got the ans frm th link thanks
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study_ing
| Forum Fanatic Topics: 179 Posts: 2261
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tolito
| Forum Junior Topics: 119 Posts: 2136
 i just hate the exam writers. i would have jumped for immediate surgery!!! the article actually states that chances of success in children less than 2yrs is low but the best answer is usually to try conservative before going for surgery. so B. thanks for the link
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study_ing
| Forum Fanatic Topics: 179 Posts: 2261
i actually dont see the link i had posted for the 'lovely flow chart' 2000!! here it is ..and ure welcome  http://www.aafp.org/afp/20001101/2037.html
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nayakanti
| Forum Elite Topics: 39 Posts: 229
so what is done exactly?hw do u appraoch?
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doc4
| Forum Guru  Topics: 9 Posts: 459
great chart study_ing!! thanx..
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drjvo
| Forum Newbie  Topics: 1 Posts: 14
I have a doubt. Epocrates, says that hcg and GnRh is not recommended any more. Then what would be the answer? 
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drjvo
| Forum Newbie Topics: 1 Posts: 14
So, I think inmediate Sx is the answer (A)
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drduck
| Forum Guru  Topics: 141 Posts: 964
A.
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chuy
| Forum Newbie Topics: 2 Posts: 16
A immediate surgery. Testes should be descended by 6 months of age or will remain undescended and increasing risk for malignancy
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drgbolls
| Forum Junior Topics: 20 Posts: 211
surgery is done at 9-15 months according to Kaplan. I will go with B. pg 172 kaplan pediatrics
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