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Flashcards in 30 - uro emergs Deck (18)
1

2 general classes of hematuria

1. painful
2. painless

2

4 painful cuases

1. obst.
2. stones
3. UTI
4. trauma

3

3 painless causes

1. BLADDER CA until proven otherwise
2. anticoag
3. BPH

4

what is cont. bladder irrigation

to irrigate blood clots in the bladder
- large diameter cath
- as urine clears can slow the rate

5

mgmt of clots

1. cath not clearing
- active bleeding or clots
- bladder irrigate
2. cath. blocked
- Consult uro

6

Sx of UTI and pyelo

UTI
- freq, urgency, dysuria, suprapubic pain, hematuria
Pyelonephritis
- chills, fever, flank/back pain, N/V, CVA tenderness

7

what is abscence of Sx in woman with UTI

vaginitis or cervicitis

8

UTI investigations

- urine dip - if pos. adequate
- urine C&S
- further investiagtions for:

9

7 patho for UTI

E.coli
staph sapprophyticus
proteus
klebsialla
enterobacter
pseudomonas
entercoccus

10

Tx for UTI

3 days for uncomplicated
- TMP-SMX or nitrofurantoin
for complicated
- flouroquinolones
- consider paraenteral first dose

11

Tx for pyelo

1. IV Abx
- cipro for 7 days or TMP-SMX for 14
2. antipyretics
3. IV fluids
4. anti-emetics

12

**what to ask about in male with abdo pain

testicular pain and do an exam

13

Sx of torsion

painful, swollen, tender testicle

14

importance of torsion Dx

6hours

15

mgmt of torsion

uro consult, then US

16

cause of female urine retention

- infection
- get urine R&M

17

cause of male retention

BPH
- do not use smaller than 16 french cath
- document drainage
- urine R+M, C+S
- alpha agonsist

18

what is post-retention care

- monitor outut each 2 hours
- look out for post retention diuresis >200ml
- if present, give fluids and blood work