30 - uro emergs Flashcards
1
Q
2 general classes of hematuria
A
- painful
2. painless
2
Q
4 painful cuases
A
- obst.
- stones
- UTI
- trauma
3
Q
3 painless causes
A
- BLADDER CA until proven otherwise
- anticoag
- BPH
4
Q
what is cont. bladder irrigation
A
to irrigate blood clots in the bladder
- large diameter cath
- as urine clears can slow the rate
5
Q
mgmt of clots
A
- cath not clearing
- active bleeding or clots
- bladder irrigate - cath. blocked
- Consult uro
6
Q
Sx of UTI and pyelo
A
UTI
- freq, urgency, dysuria, suprapubic pain, hematuria
Pyelonephritis
- chills, fever, flank/back pain, N/V, CVA tenderness
7
Q
what is abscence of Sx in woman with UTI
A
vaginitis or cervicitis
8
Q
UTI investigations
A
- urine dip - if pos. adequate
- urine C&S
- further investiagtions for:
9
Q
7 patho for UTI
A
E.coli staph sapprophyticus proteus klebsialla enterobacter pseudomonas entercoccus
10
Q
Tx for UTI
A
3 days for uncomplicated - TMP-SMX or nitrofurantoin for complicated - flouroquinolones - consider paraenteral first dose
11
Q
Tx for pyelo
A
- IV Abx
- cipro for 7 days or TMP-SMX for 14 - antipyretics
- IV fluids
- anti-emetics
12
Q
**what to ask about in male with abdo pain
A
testicular pain and do an exam
13
Q
Sx of torsion
A
painful, swollen, tender testicle
14
Q
importance of torsion Dx
A
6hours
15
Q
mgmt of torsion
A
uro consult, then US
16
Q
cause of female urine retention
A
- infection
- get urine R&M
17
Q
cause of male retention
A
BPH
- do not use smaller than 16 french cath
- document drainage
- urine R+M, C+S
- alpha agonsist
18
Q
what is post-retention care
A
- monitor outut each 2 hours
- look out for post retention diuresis >200ml
- if present, give fluids and blood work
