Urological Emergencies in Clinical Practice - part 6 pptx
Urological Emergencies in Clinical Practice - part 6 pptx
... will miss a substan- tial number of ureteric injuries (Presti and Carroll 19 96) . Indeed, in a series of 50 patients undergoing single-shot intraoperative IVU, the renal collecting system and ureter ... 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 sp...
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Urological Emergencies in Clinical Practice - part 9 pptx
... 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. Vaginal examination ... 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 6...
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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 ... Cataloging -in- Publication Data Hashim, Hashim. Urological emergencies in clinical practice / Hashim Hashim, John Reynard, and Nigel C. Cowan. p. ; cm. Includes bi...
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Urological Emergencies in Clinical Practice - part 2 potx
... colicky flank pain proba- bly has a ureteric stone, but an 80-year-old woman probably has something else going on. Examination and Simple Tests The pain from a ureteric stone is colicky in nature. ... blood in the urine may be a completely coincidental finding in a patient who presents with flank pain due to a non-stone cause. Temperature Perhaps the most important aspect of examination i...
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Urological Emergencies in Clinical Practice - part 3 pot
... no clinical response to 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 should continue fo...
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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 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 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 ... penile fractures in Saudi Arabia. Br J Urol 1991 ;67 :64 4 64 6. Asgari MA, Hosseini SY, Safarinejad MR, et al. Penile fractures: evalua- tion, therapeutic approaches and long-ter...
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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 2 6- 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 ... Dundee technique. (See this figure in full color in the insert.) Longitudinal incision oedematous foreskin Transverse closure of incision FIGURE 6. 6. A dorsal slit with the longitudinal...
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Urological Emergencies in Clinical Practice - part 10 doc
... anterior urethral injury and, 109 Stuttering priapism, 132 Suprapubic catheterisation, 92–93, 112, 168 – 169 contraindications, 168 – 169 indications, 168 technique, 169 Suprapubic pain, 5 Systemic in ammatory response ... presenting as urological emergencies, 160 – 165 W Wound dehiscence leading to burst abdomen, 145–1 46 X Xanthogranulomatous pyelonephritis, 42–43 Z Zipper injur...
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