GU emergencies

Question 1

What is the name of the deformity that allows testicular torsion to occur?

Answer 1

bell-clapper deformity

Question 2

First line imaging for renal colic

Answer 2

CT KUB (all stones show up on CT)

Question 3

Indications for admission in renal colic

Answer 3

uncontrolled pain
vomiting

Question 4

Which ureteric stones are more likely to pass spontaneously?

Answer 4

smaller and more distal stones

Question 5

Pyelonephritis emergency management

Answer 5

treat sepsis
relieve obstruction - stent or nephrostomy

Question 6

Sepsis 6

Answer 6

3 investigations:
- blood cultures
- lactate
- urine output

3 treatments:
- oxygen
- antibiotics
- IV fluids

Question 7

What antibiotics are often given for pyelonephritis?

Answer 7

gentamicin IV
piperacillin/tazobactam IV

Question 8

Define acute urinary retention

Answer 8

sudden inability to pass urine

Question 9

Who is at risk of urinary retention?

Answer 9

older men
poorer flow
bigger prostates/higher PSA (benign)

Question 10

Acute urinary retention treatment

Answer 10

catheter insertion
home with alpha blockers
TWOC in community

Question 11

What is chronic urinary retention?

Answer 11

non-painful bladder that remains palpable after voiding

Question 12

Chronic urinary retention management

Answer 12

catheter
outflow surgery

Question 13

When should ultrasound be used in scrotal pain?

Answer 13

if not acute onset
if incertain if it is testicular or extratesticular
hydrocele
trauma

Question 14

Orchitis/epididymitis treatment

Answer 14

doxycycline/ciprofloxacin

Question 15

What scan should all penetrating trauma to the abdomen have?

Answer 15

CT
assess damage