Urological Emergencies in Clinical Practice - part 3 pot

... that later infection supervened. 3. NONTRAUMATIC RENAL EMERGENCIES 41 3. NONTRAUMATIC RENAL EMERGENCIES 39 FIGURE 3. 13. a: A case of emphysematous pyelonephritis on plainabdominal x-ray. Note ... no clinical responseto the above include a combination of piperacillin and tazo-bactam. This combination is active against enterobacteria,enterococci, and Pseudomonas.᭿ Gentamicin is used in ... ideally be combined with b-lactam antibiotics, e.g., co-trimoxazole but can be combined with ciproﬂoxacin instead.If there is clinical improvement, intravenous treatment shouldcontinue for at...

Urological Emergencies in Clinical Practice - part 2 potx

... bilateral ureteric stones, 3. NONTRAUMATIC RENAL EMERGENCIES 27 3. NONTRAUMATIC RENAL EMERGENCIES 25FIGURE 3. 4. ContinuedPlain abdominal x-ray and renal ultrasound are not suf - ciently sensitive ... blood in the urine may be a completelycoincidental ﬁnding in a patient who presents with ﬂank paindue to a non-stone cause.TemperaturePerhaps the most important aspect of examination in patientswith ... in urinary retention, butwho are not aware of it. This is so-called high-pressure chronicretention. Mitchell (1984) deﬁned high-pressure chronic reten-tion of urine as maintenance of voiding,...

Urological Emergencies in Clinical Practice - part 5 potx

... McAninch (2002) recommends repair of the ureteric injury,with nephrectomy being performed only in those cases where aurine leak develops postoperatively (as evidenced by continuingdrainage ... stitchesbetween bladderand psoas minorUreter reimplantedinto bladderThe incision islengthened at rightangles to the line ofincisionOblique incision in bladderThe incision isclosed lengthwaysCommoniliac ... and organs, such as the bladder, result-ing in damage to these structures.The closed-book pelvic fracture (B2 or B3 in the Tile classi - cation) is shown in Figure 5.17. When a lateral compression...

Urological Emergencies in Clinical Practice - part 7 pot

... way ofinvestigating a condition where the diagnosis is usually obviousfrom the characteristic history (snapping sound, sudden detu-mesence, and pain during intercourse) and ﬁndings on clinical examination ... trauma. In: Walsh PC, Retik AB, VaughanED, Wein AJ, eds. Campbell’s Urology. Philadelphia: WB Saunders,2002 :37 03 37 14.McAninch JW. Genitourinary trauma. In: Walsh PC, Retik AB, VaughanED, Wein ... thetunica vaginalis (Fig. 6 .3) . In these individuals the testis hangsmay be (a) intravaginal where the testis twists within the tunicavaginalis, the more common type; or (b) extravaginal, the...

Urological Emergencies in Clinical Practice - part 1 docx

... Licensing Agency. Enquiries concerning reproduction outside thoseterms should be sent to the publishers.ISBN 1-8 5 23 3- 8 1 1 -3 Springer-Verlag London Berlin HeidelbergSpringer-Verlag is part of Springer ... malaria, pulmonary embolus. Urological Emergencies in Clinical Practice Urological Emergencies in Clinical Practice Hashim Hashim, John Reynard, andNigel C. Cowan 3 Epididymo-orchitis may present ... Cataloguing in Publication DataHashim, Hashim Urological emergencies in clinical practice 1. Urology 2. Emergency medicine I. Title II. Reynard, John III. Cowan,Nigel C.616.6¢025ISBN 185 233 81 13 Library...

Urological Emergencies in Clinical Practice - part 4 docx

... the ﬂuid is urine (the cre-atinine level will be at least 30 0 mmol/L).4. Flank pain if the ureter has been ligated5. An abdominal mass, representing a urinoma6. Vague abdominal pain7. The pathology ... sepsis 3. Persistent drainage of ﬂuid from abdominal or pelvicdrains, from the abdominal wound, or from the vagina. This ﬂuidshould be sent to the lab for creatinine estimation. If the creati-nine ... it stains the sur-rounding tissues, making it impossible to see a leak. There willbe no leak of dye in a ligation injury so the methylene bluemethod will ‘miss’ such injuries.On-Table Intravenous...

Urological Emergencies in Clinical Practice - part 6 pptx

... taking the patient to the operatingtheatre, exposing the bladder, opening it, and inserting a catheter,when a suprapubic catheter could easily be passed percuta-neously in the emergency department? ... been ruptured, urine andblood may track into the scrotum, causing swelling and a char-acteristic ‘butterﬂy-wing’ pattern of bruising, which reﬂects theextent to which the bruising may spread ... will miss a substan-tial number of ureteric injuries (Presti and Carroll 1996). Indeed, in a series of 50 patients undergoing single-shot intraoperativeIVU, the renal collecting system and ureter...

Urological Emergencies in Clinical Practice - part 8 pps

... ofciproﬂoxacin by mouth. Apply a ring block to the base of thepenis using a 26-gauge needle. Use 10 mL of 1% plain lignocaineor 10 to 20 mL of 0.5% plain bupivacaine (Marcaine) to the skinat the ... occurrenceof wound infection and dehiscence. Other factors include cough-ing and straining postoperatively, which increase intraabdominalpressure and put extra tension on the sutures.Surgeon-related ... normal saline into the drip. Use a colloid,e.g., gelofusin if the BP has dropped.᭿ Administer 0.5 mL of 1 : 1000 epinephrine i.m. or 3 to 5 mL of1 : 10,000 epinephrine i.m. Repeat every 10 minutes...

Urological Emergencies in Clinical Practice - part 9 pptx

... ureterohy-dronephrosis during pregnancy by MR urography. Eur Radiol1996;6 :33 4 33 8.Stothers L, Lee LM. Renal colic in pregnancy. J Urol 1992;148: 138 3– 138 7.8. URETERIC COLIC IN PREGNANCY 159<50 ... women vaginal examination may reveala hard, craggy mass arising from the cervix. In terms of clinical examination, it is advisable to perform aDRE in both men and women. Vaginal examination ... result in an improvement in urine output and reduction in serum creatinine within 24 to 48 hours (Hamdy and Williams1995). Give an 8-mg intravenous bolus followed by 4 mg i.v. every 6 hours for 3...

Urological Emergencies in Clinical Practice - part 10 doc

... acute, 9–15Urinary septicaemia, 45–48Urinary system, injuries to, 83 92Urinary tract infection, 5Urinary tract obstruction, 4Urine culture, 34 Urinoma, 66 Urological disease, spinalcord compression ... in, 152–155radiation levels in, 152–1 53 ureteric colic in, 151–159Pregnancy test, 18Priapism, 6, 132 – 134 causes, 132 – 133 treatment, 133 , 134 Prostatehigh-riding, in pelvicfracture, 91transurethral resection ... urography forrenal imaging, 58–59JJJ stenting, 72– 73 JJ stents, 28, 66insertion of, 171–175 in pregnancy, 156–158KKidney and urinary bladder(KUB) x-ray, 34 , 35 , 41, 42Kidneys, injuries to, 54LLower...

Xem thêm