Urology emergencies

Question 1

Acute urinary retention- sx

Answer 1

• Inability to pass urine

- Lower abd dissension/ pain

Question 2

Acute urinary retention- Tx

Answer 2

• Catheterization

- Determine underlying cause and tx

Question 3

Testicular torsion- Sx

Answer 3

• Sudden onset, severe, unilateral pain
• N/V
• Pain at testicle, radiates to intrascrotal structures

Question 4

Testicular torsion- Tx

Answer 4

• Manual detorsion

- Consult uro, prep for surgery

Question 5

Pyelonephritis- Sx

Answer 5

• Chills, fever and flank pain
• Pyuria, bacteuria
• Frequency, urgency

Question 6

Pyelonephritis- Tx

Answer 6

• Abx

Question 7

Urolithiasis- Sx

Answer 7

• Hematuria
• CVA tendernes
• N/V, abd distension

Question 8

Urolithiasis- Tx

Answer 8

• Pain mgmt, most pass spontaneously

- Removal

Question 9

Urosepsis- Sx

Answer 9

• Sx of UTI plus sx of shock
• Hypothermia, tachycardia, high temp
• Pain and difficulty with urination

Question 10

Urosepsis- Tx

Answer 10

• Empiric abx