urinary retention

Question 1

define

Answer 1

painful inability to empty your bladder

Question 2

cx

Answer 2

bladder stones- shit stuff accumulates
constipation
neurological
cancer
prolapse
clots
meds
foregin bodies
post op
bph

Question 3

any LUTS - what are they

Answer 3

frequency
urgeny
nocturia
straining
weak stream
intermittent flow
incomplete emptying
FUNWISE

Question 4

UR what should you do

Answer 4

catheter
LUTS - FUNWISE
MSU and abx
PR - women should do PV
home - TWOC
medical managament - tamulosin and finesteride( 5 alpha reductase inhibitor - reduces metabolusm of testosterone - de angrogens you a little bit
TURP -

Question 5

testicular pain cremstic reflex

Answer 5

dont worry if not present on both

Question 6

blue dot sign

Answer 6

The “blue dot sign” is a classic physical exam finding unique to testicular appendix torsion.

Question 7

lateral lie and high riding

Answer 7

torsion - pot hole
torsion afternnon
other swelling - late night

Question 8

tortid hydatid

Answer 8

The hydatid of Morgagni is a small embryological remnant at the upper pole of the testis. Torsion of the hydatid is of no consequence in itself except that it presents a similar picture to torsion of the testis which is a surgical emergency.
appendics
mulleram duct

Question 9

bag around testicle

Answer 9

tunica vaginalis

bell clapper attaches really high - so mboile and can twist and thats why we get testicular torsion

Question 10

testicualr torsion do you fix both

Answer 10

yes
10-35
extravaginal torsion in neonates- undescented testicles