Urological Emergencies in Clinical Practice - part 9 pptx
Urological Emergencies in Clinical Practice - part 9 pptx
... urolithiasis. ISDN 9 0- 80617 9- 3 -8 , March 2001:10.Hellawell GO, Cowan NC, Holt SJ, Mutch SJ. A radiation perspective fortreating loin pain in pregnancy by double-pigtail stents. Br J Urol Int2002 ;90 :801–808.Hendricks ... onObstetric Practice. Guidelines for diagnostic imaging during preg-nancy. ACOG Committee Opinion No. 158. Washington DC: ACOG, 199 5.Burke BJ, Washowich TL. Ureteral jets in normal second- and thirdtrimester ... dexamethsone has beenshown to result in an improvement in urine output and reduction in serum creatinine within 24 to 48 hours (Hamdy and Williams 199 5). Give an 8-mg intravenous bolus followed by 4...
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Urological Emergencies in Clinical Practice - part 6 pptx
... bone.Other mechanisms include direct injuries to the penis, penilefractures (Marsh et al. 199 9), in ating a catheter balloon in theanterior urethra (Sellett 197 1), and penetrating injuries bygunshot ... will miss a substan-tial number of ureteric injuries (Presti and Carroll 199 6). Indeed, in a series of 50 patients undergoing single-shot intraoperativeIVU, the renal collecting system and ureter ... to instill the contrast retrogradely througha catheter inserted into the bladder—CT cystography usingintravascularly administered contrast can miss bladder perfora-tions. Haas et al. ( 199 9)...
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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, andNigel C. Cowan3Epididymo-orchitis may present ... Licensing Agency. Enquiries concerning reproduction outside thoseterms should be sent to the publishers.ISBN 1-8 523 3-8 1 1-3 Springer-Verlag London Berlin HeidelbergSpringer-Verlag is part of Springer ... Cataloging -in- Publication DataHashim, Hashim. Urological emergencies in clinical practice / Hashim Hashim, John Reynard,and Nigel C. Cowan.p. ; cm.Includes bibliographical references.ISBN 1-8 523 3-8 1 1-3 ...
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Urological Emergencies in Clinical Practice - part 2 potx
... in urinary retention, butwho are not aware of it. This is so-called high-pressure chronicretention. Mitchell ( 198 4) defined high-pressure chronic reten-tion of urine as maintenance of voiding, ... 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 ... fatalanaphylaxis following the administration of low-osmolality con-trast media for IVU is on the order of 1 in 100,000 (Caro et al. 199 1).3. CTU is faster, taking just a few minutes to image thekidneys...
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Urological Emergencies in Clinical Practice - part 3 pot
... 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 ... Urology 2002; 59: 8 39. O’Malley ME, Soto JA, Yucel EK, Hussain S. MR urography: evaluationof a three-dimensional fast spin-echo technique in patients withhydronephrosis. AJR 199 7;168:387– 392 .Segura...
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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 ligated5. An abdominal mass, representing a urinoma6. Vague abdominal pain7. The pathology ... 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 ... 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 level...
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Urological Emergencies in Clinical Practice - part 5 potx
... high-riding prostate when in fact it is in anormal position and vice versa. Thus, the presence of a high-riding prostate is an unreliable sign (Elliott and Barrett 199 7). Adigital rectal examination ... (Latenser et al. 199 1, Leung et al. 199 2) andmakes nursing care easier (turning, sitting, early mobilisation)and lowers the need for analgesic consumption.Pelvic stability is maintained by a series ... theanastomosis in a position that will avoid kinking the ureter. We clip, but do not tie, the stitches yet, because as Turner-Warwick and Worth ( 196 9) suggested, ‘Having sited the positionof the hitch-sutures,...
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Urological Emergencies in Clinical Practice - part 7 pot
... Urol Clin North Am 198 9;166:2 79 282.Pierce JM. Disruptions of the anterior urethra. Urol Clin North Am 198 9;16:3 29 334.Presti JC, Carroll PR. In: McAninch JW, ed. Traumatic and Reconstruc-tive ... the tear in the tunica albuginea(Marsh et al. 199 9). A spatulated one- or two-layer urethral anas-tomosis is carried out. The repair is splinted with a urethralcatheter, which is left in place ... 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...
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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 ... bodies penetrating the urethra. J Urol 199 9 ;- 161 :91 5 91 6.Keoghane SR, Sullivan ME, Miller MA. The aetiology, pathogenesis andmanagement of priapism. Br J Urol Int 2002 ;90 :1 49 154.Kerwat R, ... surfaces of a wound result-ing in the breakdown of skin and deeper musculoaponeuroticlayers exposing the viscera (Dickenson and Leaper 199 9). It typ-ically occurs in the first week postoperatively...
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Urological Emergencies in Clinical Practice - part 10 doc
... ContinuedcBladder imaging, in urethralrupture, 95 97 Bladder injuries, 97 –1 09 associated with pelvicfractures, 89 90 during caesarean section,107causes of, 97 98 diagnosing, 98 99 imaging ... bladderimaging in, 95 97 Urethral tears, 112Urethrogram, retrograde, 93 , 94 Urinary retention, acute, 9 15Urinary septicaemia, 45–48Urinary system, injuries to,83 92 Urinary tract infection, 5Urinary ... injuries, penile, 121186 INDEXPartial transection of ureter,primary closure of, 75Pelvic fractures, 10, 83 92 abdominal and pelvicimaging in, 91 92 bladder injuries associatedwith, 89 90 closed-book,...
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