Surg uro admission

Question 1

AROU

Answer 1

HPI

• AROU since
• last void
• passage of clot/ stone
• dysuria
• cough medicine
• dull suprapubicdiscomfort
• last BO
• n/v
• LL numbness/weakness
• fever
• LMP
• regular cycle
• normal flow
• abn PV bleeding/ discharge

Question 2

UTI

Answer 2

HPI (pyelonephritis)

• NPO
• obs q1H x4, then q4H if stable
• IVF
• Chart IO
• Foley to BSB, UO q1H
• Bld x CBC LRFT clotting amylase
• MSU x multistix, R/M, C/S
• IV augmentin

Question 3

Hematuria

Answer 3

Mx

• DAT
• IVF
• Obs q4H
• Bld x CBC LRFT bone clotting urate
• MSU x RM, C/S
• Save urine for inspection
• Bladder scan x1

Question 4

Scrotal pain

Answer 4

HPI

• Gross painless hematuria
• abd pain
• fever
• urinary sx
• sexual activity, partner
• urehtral pain/ discharge
• recent abx

PE
 - BP P T
 - abd soft, no mass/ hernia
 - testicle mild T
 >>>> mass/ swelling
 >>>> high riding
 >>>> spermatic cord not swollen
 >>>> scrotal erythema, crepitus, blue dot sign

Mx

• NPO
• IVF
• Obs q4H
• Bld x CBC LRFT INR amylase RG
• MSU x C/S, RM
• KUB
• IV levofloxacin
• U USG scrotum