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Related Concept Videos

Anatomy of the Genitourinary System I: Kidneys and Ureters01:11

Anatomy of the Genitourinary System I: Kidneys and Ureters

The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

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Updated: Jun 3, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Pediatric genitourinary tumors.

Kevin S Buckley1

  • 1Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. kebuckle@wfubmc.edu

Current Opinion in Oncology
|April 5, 2011
PubMed
Summary
This summary is machine-generated.

Advances in treating pediatric genitourinary tumors include new techniques and biologic markers for risk stratification. Molecular insights are improving prognosis and guiding new drug development for these cancers.

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Area of Science:

  • Pediatric Oncology
  • Genitourinary Oncology
  • Molecular Biology

Background:

  • Pediatric genitourinary tumors encompass a range of malignancies affecting children.
  • Prognosis for many of these tumors has improved significantly over time.
  • Understanding the molecular underpinnings is crucial for advancing treatment.

Purpose of the Study:

  • To review the 2009/2010 literature on pediatric genitourinary tumors.
  • To highlight significant advancements and publications in the field.
  • To provide an overview of current and emerging treatment strategies.

Main Methods:

  • Literature review of publications from 2009-2010.
  • Analysis of significant findings related to diagnosis, risk stratification, and treatment.
  • Synthesis of information on novel therapeutic approaches and molecular markers.

Main Results:

  • New techniques like gene expression profiling and PET scans are integrated into treatment.
  • Biologic markers (e.g., WT1 mutation, 11p15 LOH) aid in risk stratification for Wilms tumors.
  • Research explores fusion gene status for rhabdomyosarcoma risk stratification and evaluates high-dose chemotherapy for relapsed cases.

Conclusions:

  • The overall prognosis for pediatric genitourinary tumors is generally favorable.
  • Molecular abnormalities are key to refining risk stratification and treatment strategies.
  • Continued research is essential for developing new agents for high-risk and relapsed diseases.