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 ... and mech- anism of urethral injury in pelvic fracture. Br J Urol 1996; 77 : 876 –880. 122 J. REYNARD Sellett T. Iatrogenic urethral injury due to preinflation of a Foley catheter....

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... 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 in patients with ... in urinary retention, but who are not aware of it. This is so-called high-pressure chronic retention. Mitchell (1984) defined high-pressure chronic reten- tion of urine as maintena...

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... 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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... the bladder. 5. TRAUMATIC UROLOGICAL EMERGENCIES 77 fracture being more likely to be associated with a bladder injury and the closed-book fracture with a urethral injury. In the vertically unstable ... 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...

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... 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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... the lab for creatinine estimation. If the creati- nine level is higher than that of serum, the fluid is urine (the cre- atinine level will be at least 300 mmol/L). 4. Flank pain if the ureter ... 19 97; 158:8 37 840. 4. OTHER INFECTIVE UROLOGICAL EMERGENCIES 53 A rare, noninfective cause of epididymitis is the antiarrhyth- mic drug amiodarone, which accumulates in high concentrations wi...

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... 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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... 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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... urolithiasis. ISDN 9 0- 806 17 9-3 -8 , March 2001:10. Hellawell GO, Cowan NC, Holt SJ, Mutch SJ. A radiation perspective for treating loin pain in pregnancy by double-pigtail stents. Br J Urol Int 2002;90:801–808. Hendricks ... 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...

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... urography 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, injuries to, 54 L Lower ... Continued c Bladder imaging, in urethral rupture, 95– 97 Bladder injuries, 97 109 associated with pelvic fractures, 89–90 during caesarean section, 1 07 causes of, 97 98 dia...

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