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Flashcards in Urological Emergencies Deck (12)
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1
Q

Acute urinary retention is an emergency. True/False?

A

True

2
Q

List some causes of acute urinary retention

A

Benign prostatic hyperplasia
Prostatitis
Bladder overdistention

3
Q

How is acute urinary retention managed?

A

Catheterisation

Uroselective alpha-blocker (alfuzosin)

4
Q

What is the main urological cause of acute colicky loin pain?

A

Calculus - pain mediated by prostaglandins in ureter in response to obstruction

5
Q

How is acute ureteric colic managed?

A

NSAID with/without opiate
Alpha-blocker (alfuzosin)
If stone not passed in 1 month, surgery

6
Q

What investigations are done for frank haematuria?

A

CT urogram

Cystoscopy

7
Q

Irreversible ischaemic injury may occur in acute scrotum as early as 4hrs. True/False?

A

True

Need prompt intervention

8
Q

The cremasteric reflex is not present in either testicular torsion or epidydimitis. Which one?

A

Present in epidydimitis

Not present in testicular torsion

9
Q

What is paraphimosis?

A

Painful swelling of foreskin distal to a phimotic ring

10
Q

What is priapism?

A

Prolonged erection, usually longer than 4 hours

11
Q

If priapism is ischaemic, how is it treated?

A

Aspiration of blood

Injection of alpha-agonist (phenylephrine)

12
Q

What is Fournier’s gangrene?

A

Form of necrotising fasciitis in the male genital region