Acute Urinary Retention Flashcards
1
Q
Causes in Males? (3)
A
BPH/cancer
Urethral stricture
Post-operative
2
Q
Causes in Females? (3)
A
Retroverted gravid uterus
Atrophic urethritis
Multiple sclerosis
3
Q
Mutual causes?
A
Drugs
Faecal impaction
4
Q
Drugs that cause urinary retention? (5)
A
TCA's Anti-cholinergics Opiods NSAIDs Disopyramide (anti-arrythmic)
5
Q
Presentation?
A
Inability to pass urine + bladder discomfort. O/E: tender enlarged bladder, dull to percussion.
6
Q
What complication to check for?
A
Prolapsed disc/cord compression by check PNS lower limb and PR for anal tone
7
Q
Mx? (3)
A
Urethral catheterisation
Suprapubic if urethral is CI.
Treat cause.
