Test Your Knowledge: Acute Urinary Retention in the ED
March 23, 2021
Posted by Andy Jagoda MD in: Brain Tease , add a comment
Etiologies of acute urinary retention fall into 4 broad categories: structural, medication/ toxicologic, neurologic, and infectious. Although two-thirds of cases in men are related to prostatomegaly, there is also a high burden of concomitant morbid pathology. Acute urinary retention can also result from trauma, drug toxicity, infection, or compressive or demyelinating neurologic pathology, and these must be ruled out, particularly in women, children, and elderly patients.
What’s Your Diagnosis? Management of Acute Urinary Retention in the ED
February 22, 2021
Posted by Andy Jagoda MD in: What's Your Diagnosis , 3 comments
Welcome to this month’s What’s Your Diagnosis Challenge!
But before we begin, check to see if you got last month’s case on Community-Acquired Pneumonia in the Emergency Department right.
Urinary Retention Complications
January 2, 2014
Posted by Andy Jagoda, MD in: Cases , 1 comment so far
It?s 2:00 PM and you are about to finally grab some lunch, but in comes a 72-year-old man with a history of large cell lymphoma for the past 15 years. He complains of dribbling urinary frequency, which has worsened over 1 day after being prescribed an antibiotic by his doctor for a UTI. The nurse asks him to walk to another stretcher, and as he gets up, he stumbles and catches himself with his hands. As you prepare to do the bladder ultrasound, you wonder why he stumbled…
It?s finally 6:30 PM, with just 30 minutes until relief arrives. You are spending the last half hour of your shift tying up the loose ends with your current patients when a 46-year-old febrile woman with a? history of active intravenous drug abuse and HIV comes in. She is in excruciating discomfort and tells you that she has not urinated in 2 days. You wonder if that is possible, and why…
What would you do to manage these patients?
(Leave a comment with your solutions to this month’s cases to be eligible to receive a free copy of the January 2014 issue of Emergency Medicine Practice.? The deadline to enter is January 6th.)