Urinary retention and urinary tract obstruction Flashcards
which anti depressant can cause urinary retention ?
amitryptyline
if in doubt over the diagnosis of urinary retention, what would you do
bladder scan
causes of chronic retention?
urethral obstruction dysfuncitonal bladder systemic disease (diabetes, MS)
unilateral causes of urinary obstruction ?
stones
inflammatory stricture
malignancy
bilateral causes urinary tract obstruction?
neurogenic vesico ureteric obstruction Urethral obstruction (BPH, malignnacy)
management to temporarily relieve obstruction?
urinary catheter
suprapubic nephrostomy
what is hydronephrosis?
dilation of the renal pelvis and calyceal system
can renal dysfunction from hydronephrosis be permanent?
yes
what is the muscle of the bladder?
detrusor
• triangular region between the two ureteric orifaces and the urethral orifice.
trigone
innervation of the bladder?
s2-s4
splanchnic parasympathetic nerves ‘splash’