0071643192.pdf

RENAL AND GENITOURINARY EMERGENCIES FIGURE 18.2. Syphilis. Painless, indurated chancre. (See also color insert.) (Reproduced, wi ...

RENAL AND GENITOURINARY EMERGENCIES ■ Lesions can be swabbed and cultured for bacterial and viral identification. ■ Chlamydia ca ...

RENAL AND GENITOURINARY EMERGENCIES Epididymitis exam findings: Swollen tender epididymis Relief with elevation of scrotum (Preh ...

RENAL AND GENITOURINARY EMERGENCIES TESTICULAR TORSION The tunica vaginalis normally surrounds the testicle and attaches to the ...

RENAL AND GENITOURINARY EMERGENCIES FOURNIER GANGRENE Fournier gangrene is a rapidly progressing, necrotizing infection of the s ...

RENAL AND GENITOURINARY EMERGENCIES Balanitis = inflammation of the glans penis. Balanoposthitis = inflammation of the glans pen ...

RENAL AND GENITOURINARY EMERGENCIES Phimosis Treatment Daily cleaning of foreskin Topical steroids Immediate intervention if out ...

RENAL AND GENITOURINARY EMERGENCIES Priapism is defined as persistent painful erection unrelated to stimulation or desire. Priap ...

RENAL AND GENITOURINARY EMERGENCIES SYMPTOMS/EXAM ■ Predisposing factor: Recent history of straddle or groin injury, spinal cord ...

RENAL AND GENITOURINARY EMERGENCIES TREATMENT ■ Supportive care with analgesia ■ Suprapubic catheter if urinary drainage needed ...

RENAL AND GENITOURINARY EMERGENCIES SYMPTOMS/EXAM ■ Hallmark is asymptomatictesticular mass, firmness, or induration. ■ Exam may ...

RENAL AND GENITOURINARY EMERGENCIES TREATMENT ■ Supportive care only with analgesia, bed rest, scrotal elevation ■ Surgical expl ...

RENAL AND GENITOURINARY EMERGENCIES EXAM ■ Findings vary with cause of obstruction (eg, enlarged prostate c/w BPH). ■ Abdominal ...

CHAPTER 19 Procedures and Skills Ana Paola Uranga, MD, MBA Cardiothoracic Procedures 857 PERICARDIOCENTESIS 857 THORACENTESIS 85 ...

Orthopedic Procedures 885 EXTENSORTENDONREPAIRS 885 ARTHROCENTESIS 886 SPLINTS ANDCASTS 888 COMPARTMENTPRESSUREMEASUREMENT 888 S ...

CARDIOTHORACIC PROCEDURES A patient with breast cancer presents with a BP of 60/30, muffled heart sounds, and distended neck vei ...

INTERPRETATION OFRESULTS ■ Removal of even 30–50 mL may result in marked clinical improvement. ■ Except in trauma or ventricular ...

■ Needle is inserted in second intercostal space, midclavicular line over third rib to avoid nerve/vessel damage. ■ Rush of air ...

TECHNIQUE ■ Head of bed is elevated 30–60°. ■ Arm should be secured over patient’s head. ■ Local anesthesia and procedural sedat ...

INTERPRETATION OFRESULTS ■ Air return (rush) confirms pneumothorax. ■ Blood return confirms hemothorax, as long as the blood is ...