Browsing: Urology

Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD
Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi
Nephrology , Urology

Unusual Causes of Hematuria

10/10/2022 Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD
Hematuria, while a common presentation to the ED, can have myriad causes. Some of those causes, such as a ruptured AAA and tuberculosis, can be life-threatening if not recognized. When working up a pa
Ultrasound , Urology

No Need to Fear Fournier’s with POCUS

6/10/2022 Wayne Fu, MD, MBA , Josh Greenstein, MD
Point-of-care ultrasound may be the best, and quickest, way to diagnose Fournier’s Gangrene, an acute necrotic infection of the perineal, genital, or perianal regions.
OB/GYN , Urology

Acute Urinary Retention: A Rare Case of Incarcerated Uterus in the Gravid ED Patient

6/10/2022 Katherine Tougas , Bryson Hicks, MD , Ryanne Mayersak, MD, MS
When a pregnant woman, especially at 14 to 16 weeks gestation, shows signs of acute urinary retention, consider retroverted incarcerated uterus as a potential cause.
Urology , Nephrology

Hematuria in the ED: Evaluation and Management

4/10/2022 J. Ryan Bingham, MD , Victoria Klovenski, MD
Hematuria is a common complaint in the emergency department - and one that is largely benign. Nonetheless, there are several emergent conditions the emergency physician should consider when evaluating
Urology

Acute Urinary Retention in a Female Patient with Hypospadias

2/12/2022 Amalie Lynn Alver, MS , Jason W. David, MD, Capt (USAF)
Female hypospadias is an exceedingly rare congenital anomaly that can cause obstructive acute urinary retention in a few isolated cases.
Ultrasound , Urology

Not so FAST: Intraperitoneal Bladder Rupture

2/12/2022 Courtney Smith, MD , Sara Paradise Dimeo, MD
Bladder rupture is a relatively rare condition due to the protection of the bladder in the bony pelvis; most cases of bladder rupture are intraperitoneal. But a small percentage are intraperitoneal r
Urology , Ultrasound , Nephrology

ED Management of Emphysematous Pyelonephritis

12/12/2021 Jennifer Mirrielees, MD , Hani I. Kuttab, MD
Emphysematous pyelonephritis is a rare diagnosis in the ED but can be life-threatening. Symptoms can be non-specific, making diagnosis more difficult. Proper, expeditious imaging can make all the diff
Social EM , Urology , Health Policy

Failure of Follow-Up: Scrotal Hernia Case Illustrates Health Care Disparities

11/18/2020 Jason W. David, MD, Capt (USAF) , Aaron A. Johnson, DO, Capt (USAF) , Jerad Eldred, MD
Hernias with loss of domain are often a consequence of poor access to surgical care and require extensive planning and management. This case of scrotal hernia illustrates how health care disparities a
Neurology , Orthopedics , Urology

The Smallest Red Flag: A Case of Non-Urologic Urinary Retention

10/9/2020 Sarayna McGuire, MD , Derick Jones, MD, MBA , Patti Paris, MD, MBA, FACEP
It is important to consider that acute urinary retention can be a subtle clue of a neurologic process warranting emergent CT imaging to rule out vertebral fracture and MRI to rule out spinal cord comp

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