Acute Urinary Retention Flashcards

1
Q

Acute Urinary Retention

A

inability to pass urine

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2
Q

causes

A
obstruction:
BPH
prostate cancer
pregnancy
UTI
constipation

medications

innervation problems

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3
Q

signs

A

inability to pass urine
suprapubic pain
palpable bladder

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4
Q

investigations

A
urinalysis 
culture 
U+Es
bloods - for any infection
USS before management
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5
Q

management

A

immediate catherisation
discharge patient on tamsulosin and see how they cope without catherisation

depending on causes:
TURP
long term cauterisation

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6
Q

what are the side effects of tamsulosin

A

postural hypotension

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7
Q

what medications can cause AUR

A

TCA
spinal/epidural anaesthetics
NSAIDs
opioids

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8
Q

complications

A

post-obstructive diuresis

chronic urinary retention

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