Urological Emergencies in Clinical Practice - part 4 docx
Urological Emergencies in Clinical Practice - part 4 docx
... the fluid is urine (the cre- atinine level will be at least 300 mmol/L). 4. Flank pain if the ureter has been ligated 5. An abdominal mass, representing a urinoma 6. Vague abdominal pain 7. The pathology ... Persistent drainage of fluid from abdominal or pelvic drains, from the abdominal wound, or from the vagina. This fluid should be sent to the lab for creatinine estimation. If the creati- ni...
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Urological Emergencies in Clinical Practice - part 1 docx
... malaria, pulmonary embolus. Urological Emergencies in Clinical Practice Urological Emergencies in Clinical Practice Hashim Hashim, John Reynard, and Nigel C. Cowan 3 Epididymo-orchitis may present ... Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. ISBN 1-8 523 3-8 1 1-3 Springer-Verlag London Berlin Heidelber...
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Urological Emergencies in Clinical Practice - part 2 potx
... IDC, et al. Sustained-release alfu- zosin and trial without catheter after acute urinary retention. Br J Urol Int 1999; 84: 622–627. 2. LOWER URINARY TRACT EMERGENCIES 15 or preexisting renal impairment ... in urinary retention, but who are not aware of it. This is so-called high-pressure chronic retention. Mitchell (19 84) defined high-pressure chronic reten- tion of urine as maintenance...
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Urological Emergencies in Clinical Practice - part 3 pot
... combined with b-lactam antibiotics, e.g., co- trimoxazole but can be combined with ciprofloxacin instead. If there is clinical improvement, intravenous treatment should continue for at least 48 ... GANGRENE Fournier’s gangrene (Fig. 4. 2) is a necrotising fasciitis affecting the genitalia and perineum. It primarily affects males. Necrosis 4. OTHER INFECTIVE UROLOGICAL EMERGENCIES 49...
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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 a urine leak develops postoperatively (as evidenced by continuing drainage ... stitches between bladder and psoas minor Ureter reimplanted into bladder The incision is lengthened at right angles to the line of incision Oblique incision in bladder The incision is closed leng...
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Urological Emergencies in Clinical Practice - part 6 pptx
... taking the patient to the operating theatre, 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 and blood may track into the scrotum, causing swelling and a char- acteristic ‘butterfly-wing’ pattern of bruising, which reflects the extent to which the bruising may s...
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Urological Emergencies in Clinical Practice - part 7 pot
... way of investigating a condition where the diagnosis is usually obvious from the characteristic history (snapping sound, sudden detu- mesence, and pain during intercourse) and findings on clinical examination ... ‘zipper’ injuries (catching the end of the penis in the zipper of the patient’s trousers), injuries as a consequence of inserting the penis into vacuum cleaners, and injuries occu...
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Urological Emergencies in Clinical Practice - part 8 pps
... of ciprofloxacin by mouth. Apply a ring block to the base of the penis using a 26-gauge needle. Use 10 mL of 1% plain lignocaine or 10 to 20 mL of 0.5% plain bupivacaine (Marcaine) to the skin at the ... occurrence of wound infection and dehiscence. Other factors include cough- ing and straining postoperatively, which increase intraabdominal pressure and put extra tension on the sutures. Surge...
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Urological Emergencies in Clinical Practice - part 9 pptx
... been shown to result in an improvement in urine output and reduction in serum creatinine within 24 to 48 hours (Hamdy and Williams 1995). Give an 8-mg intravenous bolus followed by 4 mg i.v. every ... women vaginal examination may reveal a hard, craggy mass arising from the cervix. In terms of clinical examination, it is advisable to perform a DRE in both men and women. Vagin...
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Urological Emergencies in Clinical Practice - part 10 doc
... bladder imaging in, 95–97 Urethral tears, 112 Urethrogram, retrograde, 93, 94 Urinary retention, acute, 9–15 Urinary septicaemia, 45 48 Urinary system, injuries to, 83–92 Urinary tract infection, 5 Urinary ... for renal imaging, 58–59 J JJ stenting, 72–73 JJ stents, 28, 66 insertion of, 171–175 in pregnancy, 156–158 K Kidney and urinary bladder (KUB) x-ray, 34, 35, 41 , 42 Kidneys,...
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