GU Disorders
Involuntary urination after age 5
Enuresis
Pain begins periumbilical → RLQ; McBurney'spoint
Appendicitis
Moon face, striae, truncal obesity
Cushing syndrome
GH stimulation testing
Growth Hormone Deficiency
hourly glucose monitoring, IV fluids, insuin drip
Diabetic Ketoacidosis
lispro, aspart, gluilisine
Rapid-Acting
Fever, foul‑smelling urine, dysuria
Urinary tract infection
Projectile, non‑bilious vomiting; olive‑shaped mass
Pyloric stenosis
Hyponatremia, fluid retention, high urine specific gravity
SIADH
decreased T4, increased TSH
Hypothyroidism
Strict I&O, daily weights, skin and mucous membrane assessments
dehydration
Onset 30 minutes-1 hour
Urine backflow from bladder to ureters
Vesicoureteral reflux
Failure to pass meconium; ribbon‑like stools
Hirschsprung disease
Polyuria, polydipsia, low urine specific gravity
Diabetes insipidus
Voiding Cystourethrogram (VCUG)
Fluid replacement + DDAVP
Diabetes Insipidus
Insulins that cannot be mixed
long-acting insulins like levemir, glargine
alert, soft flat fontanelles, decreased urine output
mild dehydration
Currant jelly stools; sausage‑shaped mass
Intussusception
Heat intolerance, exophthalmos
Hyperthyroidism
Renal injury, hemolytic anemia, throbocytopenia
Hemolytic Uremic Syndrome
Treatment can include leuprolide (Lupron)
Precocious Puberty
clear to cloudy
how to mix insulins
Massive proteinuria + hypoalbuminemia
Nephrotic syndrome
Regurgitation, arching, apnea
GER
Hyperpigmentation, hyponatremia,hyperkalemia
Addison disease
high cortisol levels; decreased ACTH
Cushing Syndrome
Neurologic checks, cardiac monitoring, daily weights, strict I&O
Acute renal failure
Peaks at 2-5 hours
Regular, humulin 50/50