0071643192.pdf

Paraphimosis 848 Priapism 848 LOW-FLOW(ISCHEMIC) PRIAPISM 849 HIGH-FLOW(NONISCHEMIC) PRIAPISM 849 Penile Fracture 850 Testicular ...

RENAL AND GENITOURINARY EMERGENCIES A 5-year-old male presents to the ED with 3 days of “brown urine” and facial swelling. One w ...

RENAL AND GENITOURINARY EMERGENCIES ■ Peripheral edema ■ Proteinuria—3+ or 4+ on dipstick ■ Fatty casts or oval fat bodies on UA ...

RENAL AND GENITOURINARY EMERGENCIES TABLE 18.2. Clinical Clues That Suggest a Particular Diagnosis in Patients With Hematuria CL ...

RENAL AND GENITOURINARY EMERGENCIES Prerenal Prerenal acute renal failure occurs as a result of decreased renal perfusion. It is ...

RENAL AND GENITOURINARY EMERGENCIES DIAGNOSIS ■ BUN/Cr ratio > 10:1. ■ Evidence of increased renal Na+conservation: ■ Urinary ...

RENAL AND GENITOURINARY EMERGENCIES TREATMENT ■ Antibiotics if poststreptococcal etiology ■ Supportive care, control BP ■ Steroi ...

RENAL AND GENITOURINARY EMERGENCIES ■ Suspect rhabdomyolysis if urine is dip positive for heme, but negative for RBCs. TREATMENT ...

RENAL AND GENITOURINARY EMERGENCIES Postrenal Acute Renal Failure CAUSES Results from obstruction at any level of the urinary tr ...

RENAL AND GENITOURINARY EMERGENCIES ■ Bleeding ■ Multifactorial: Decreased platelet function, altered von Willebrand factor ■ Ma ...

RENAL AND GENITOURINARY EMERGENCIES Dialysis disequilibrium is due to transient decrease in blood osmolality and resultant fluid ...

RENAL AND GENITOURINARY EMERGENCIES ■ Pseudoaneurysms:Typically present with swelling, bleeding, or infection. ■ Thrombosis ■ Hi ...

RENAL AND GENITOURINARY EMERGENCIES Treatment ■ Intraperitoneal (not IV) antibiotics: Vancomycin or third-generation cephalospor ...

RENAL AND GENITOURINARY EMERGENCIES DIFFERENTIAL ■ Includes renal artery stenosis, cyclosporine or tacrolimus toxicity, obstruct ...

RENAL AND GENITOURINARY EMERGENCIES Uric acid stones are radiolucent. On the boards, suspect AAA in any patient over 50 presenti ...

RENAL AND GENITOURINARY EMERGENCIES A healthy 70-year-old female presents with 4 days of dysuria and urgency. On clinical examin ...

RENAL AND GENITOURINARY EMERGENCIES SYMPTOMS/EXAM ■ Urgency, dysuria, hematuria ■ Flank pain, back pain, suprapubic pain ■ Fever ...

RENAL AND GENITOURINARY EMERGENCIES SYMPTOMS/EXAM ■ Though most patients have dysuria and urethral discharge, occasional patient ...

RENAL AND GENITOURINARY EMERGENCIES ACUTE BACTERIAL PROSTATITIS ETIOLOGY ■ Patients <35 years: Sexually transmitted pathogens ...

RENAL AND GENITOURINARY EMERGENCIES TABLE 18.9. Sexually Transmitted Penile Ulcers DISEASE ORGANISM CLINICAL PAINFUL? Chancroid ...