Acute Urinary Retention Flashcards
What is acute urinary retention investigations?
Bladder scan or ultrasound of renal tract
Urinarlysis
Evaluation of post-void residual
What are causes of urinary retention?
Post-surgery
Constipation
Stone
Blood clot
Tumour
UTI
Cauda equine
Anticholinergic medication
What is the imaging for acute urinary retention/
Bladder scan or ultrasound of renal tract
Urinarlysis
Evaluation of post-void rsidal
Which medication commonly causes urinary retention in older patients?
Amitriptyline with its anti-cholinergic effects
What is the presentation of urinary retention?
Inability to pass urine
Lower abdominal discomfort
Pain or distress
Suprapubic tenderness
Suprapubic mass (due to an enlarged bladder)
Delirium (hypoactive or hyperactive
Wat are the investigations for urinary retention?
Ultrasound
Cystoscope
Urinalysis
FBC and renal profile
What is the management of urinary retention?
Catheterisation
What is a side effect of tamsulosin?
Postural hypotension in elderly
What is the most common cause of acute urinary retention in older males?
BPH
-> suprapubic tenderness and inability to pass urine
How do bladder alculi present?
Lower abdominal pain
Urinary symptoms
Unlikely to cause acute urary renteiont
Which anti-emetic causes acute urinary retention?
Cyclizine, a H1 receptor antagonist which has some anticholinergic effect. Should be used with caution in elderly due to risk of delirium or urinary/bowell retention.
What does difficulty passing urine and neurological symptom indicate?
Multiple sclerosis so it is important to do MRI head and spine
