Obstruction Flashcards
1
Q
Most vulnerable locations
A
Pelvic-uretic junction
Crossing iliac vessels
Vesico-ureteric junction
2
Q
Causes within the lumen
A
Caliculi
Blood clot
Sloughed papillae
Tumour of renal pelvis
3
Q
Causes within the wall
A
Stricture Congenital mega ureter Bladder neck obstruction Congenital urethral valves Pin hole meatus Neurogenic bladder
4
Q
Causes from outside
A
BPH Tumours Pancreatitis Chrons Phimosis Diverticulitis
5
Q
Upper tract obstruction symptoms
A
Loin pain Provoked by incised volume Complete anuria if complete Polyuria if partial Infection symptoms
6
Q
Bladder outflow obstruction symptoms
A
May be minimal Poor stream Terminal dribbling Incomplete bladder emptying Frequency Overflow in continence
7
Q
Investigations
A
Urinalysis Bloods, u and e's USS CT KUB IVU
8
Q
Management
A
Complete obstruction -> emergency
Analgesia
Catheter/nephrostomy
9
Q
Causes of bladder outlet obstruction men
A
BPH Bladder stones Bladder tumour Pelvic tumour Stricture
10
Q
Causes of bladder outlet obstruction women
A
Stress incontinence surgery Pelvic prolapse Shenes abcess Urethral diverticular Valves Gynae Cancer Neuro
