Category Archives: Genitourinary

Pediatric Urinary Tract Infections

The clinical presentation of urinary tract infections (UTI) are nonspecific in the febrile child (>100.4). The prevalence of UTIs in the 2-24 month old febrile infant without another source is approximately 5%.  Uncircumcised boys < 60 days of age have the … Continue reading

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Acute Prostatitis

The cause of acute bacterial prostatitis is unknown although ascending urethral infections are likely a common cause. The average age patient is in their 50s. E coli is the cause around 80% of the time. Gonorrhea and chlamydia (G&C) are … Continue reading

Posted in Genitourinary, Infectious Disease

Fourniers Gangrene

Fourniers gangrene is a necrotising fascitis of the perineal, genital and perianal regions. Symptoms include scrotal swelling, pain, hyperemia, pruritus, crepitus, and fever. Soft-tissue gas occurs in 19-64% and a foul-smelling discharge may be present. Mortality is approximately 20-30%. Alcohol … Continue reading

Posted in Genitourinary, Infectious Disease

The glans and foreskin

Balanitis/balanoposthitis –  Usual causes are poor hygiene, chemical irritation (eg bubble bath),  local trauma, contact dermatitis, candidal or bacterial infection. Culture urethral discharge if a concern for STDs. Consider sexual abuse. Parental involvement is needed for supervision of gentle cleaning … Continue reading

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