Urinary retention and urinary tract obstruction Flashcards

1
Q

which anti depressant can cause urinary retention ?

A

amitryptyline

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2
Q

if in doubt over the diagnosis of urinary retention, what would you do

A

bladder scan

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3
Q

causes of chronic retention?

A
urethral obstruction 
dysfuncitonal bladder
systemic disease (diabetes, MS)
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4
Q

unilateral causes of urinary obstruction ?

A

stones
inflammatory stricture
malignancy

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5
Q

bilateral causes urinary tract obstruction?

A
neurogenic 
vesico ureteric obstruction 
Urethral obstruction (BPH, malignnacy)
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6
Q

management to temporarily relieve obstruction?

A

urinary catheter

suprapubic nephrostomy

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7
Q

what is hydronephrosis?

A

dilation of the renal pelvis and calyceal system

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8
Q

can renal dysfunction from hydronephrosis be permanent?

A

yes

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9
Q

what is the muscle of the bladder?

A

detrusor

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10
Q

• triangular region between the two ureteric orifaces and the urethral orifice.

A

trigone

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11
Q

innervation of the bladder?

A

s2-s4

splanchnic parasympathetic nerves ‘splash’

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