genitourinary emergencies. assessment primary survey primary survey secondary survey secondary...
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Genitourinary EmergenciesGenitourinary Emergencies
ASSESSMENTASSESSMENT
Primary SurveyPrimary Survey Secondary SurveySecondary Survey
RISK FACTORSRISK FACTORS
PERSONAL HABITSPERSONAL HABITS DECREASED FLUID INTAKEDECREASED FLUID INTAKE IMMOBILITYIMMOBILITY DIET HIGH IN OXALATESDIET HIGH IN OXALATES POOR PERINEAL HYGIENEPOOR PERINEAL HYGIENE PREGNANCYPREGNANCY DIABETESDIABETES
RISK FACTORSRISK FACTORS
SPINAL CORD INJURYSPINAL CORD INJURY FOLEY CATHETER INSERTIONFOLEY CATHETER INSERTION PREVIOUS INFECTIONSPREVIOUS INFECTIONS TRAUMATRAUMA EXTREMES OF AGEEXTREMES OF AGE
FOCUSED SURVEYFOCUSED SURVEYSUBJECTIVE DATASUBJECTIVE DATA
HISTORY OF PRESENT HISTORY OF PRESENT ILLNESSILLNESS
MEDICAL HISTORYMEDICAL HISTORY
OBJECTIVE DATAOBJECTIVE DATA
PHYSICAL EXAMPHYSICAL EXAM A. GENERAL SURVEYA. GENERAL SURVEY B. INSPECTIONB. INSPECTION C. PERCUSSIONC. PERCUSSION D. PALPATIOND. PALPATION
DIAGNOSTIC PROCEDURESDIAGNOSTIC PROCEDURES
LAB STUDIESLAB STUDIES RADIOGRAPHIC STUDIESRADIOGRAPHIC STUDIES
AGE RELATED AGE RELATED CONSIDERATIONSCONSIDERATIONS
PEDIATRICPEDIATRIC
A. GROWTH AND DEVELOPMENT A. GROWTH AND DEVELOPMENT
B. PEARLSB. PEARLS
GERIATRICGERIATRIC
A. AGE RELATEDA. AGE RELATED
B. PEARLSB. PEARLS
ACUTE RENAL FAILUREACUTE RENAL FAILURE
THREE TYPES OF RENAL FAILURETHREE TYPES OF RENAL FAILURE
A. PRERENALA. PRERENAL
B. INRARENAL (intrinsic)B. INRARENAL (intrinsic)
C. POSTRENALC. POSTRENAL
PRERENALPRERENAL
SHOCKSHOCK CHFCHF SEPSISSEPSIS ANAPHYLAXISANAPHYLAXIS PERICARDIAL TAMPONADEPERICARDIAL TAMPONADE PULMONARY EMBOLISMPULMONARY EMBOLISM
INTRARENALINTRARENAL
ACUTE INERSTITAL NEPHRITISACUTE INERSTITAL NEPHRITIS EXPOSURE TO NEPHROTOXINSEXPOSURE TO NEPHROTOXINS ACUTE GLOMERULONEPHRITISACUTE GLOMERULONEPHRITIS VASCULITISVASCULITIS RENAL ARTERY OR VEIN STENOSISRENAL ARTERY OR VEIN STENOSIS
POSTRENALPOSTRENAL
URETHRAL OR BLADDER CANCERURETHRAL OR BLADDER CANCER RENAL CALCULIRENAL CALCULI PROSTATIC HYPERPLASIA OR CAPROSTATIC HYPERPLASIA OR CA CERVICAL CANCERCERVICAL CANCER URETHRAL STRICTUREURETHRAL STRICTURE
URINARY TRACT INFECTIONURINARY TRACT INFECTION
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
FEVERFEVER HEMATURIAHEMATURIA CHILLS AND FEVERCHILLS AND FEVER DYSURIA AND/OR URGENCYDYSURIA AND/OR URGENCY DULL FLANK PAINDULL FLANK PAIN NAUSEANAUSEA LEUKOCYTOSISLEUKOCYTOSIS
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
ANTIBIOTICSANTIBIOTICS ANALGESICSANALGESICS ANTYPYRETICSANTYPYRETICS
DISCHARGE INSTRUCTIONSDISCHARGE INSTRUCTIONS
FINISH ALL ANTIBIOTICSFINISH ALL ANTIBIOTICS CLEAN FROM FRONT TO BACKCLEAN FROM FRONT TO BACK VOID FREQUENTLYVOID FREQUENTLY AVOID BUBBLE BATHSAVOID BUBBLE BATHS VOID AFTER INTERCOURSEVOID AFTER INTERCOURSE CLEAN FORESKIN IN MALESCLEAN FORESKIN IN MALES INCREASE FLUID INTAKEINCREASE FLUID INTAKE
PYELONEPHRITISPYELONEPHRITIS
PREDESPOSING FACTORSPREDESPOSING FACTORS
PREGNANCYPREGNANCY DELAY IN TREATMENT OF UTIDELAY IN TREATMENT OF UTI IMMUNOSUPRESSIONIMMUNOSUPRESSION MORE THAN 3 UTI IN ONE YEARMORE THAN 3 UTI IN ONE YEAR
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
DULL UNILATERAL FLANK PAINDULL UNILATERAL FLANK PAIN FEVER AND CHILLSFEVER AND CHILLS RECENT UTI OR STDRECENT UTI OR STD DYSURIADYSURIA FREQUENCYFREQUENCY HEMATURIAHEMATURIA
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
FLUIDSFLUIDS ANALGESICSANALGESICS IV ANTIBIOTICSIV ANTIBIOTICS ANTIPYRETICSANTIPYRETICS
URINARY CALCULIURINARY CALCULI
RISK FACTORSRISK FACTORS
HYPERCALCEMIAHYPERCALCEMIA UTIUTI GOUTGOUT DIETDIET DEHYDRATIONDEHYDRATION PREGNANCYPREGNANCY
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
ASYMPTOMATIC UNTIL STONE MOVESASYMPTOMATIC UNTIL STONE MOVES BACKACHEBACKACHE DYSURIADYSURIA RENAL COLICRENAL COLIC HEMATURIAHEMATURIA NAUSEANAUSEA SWEATINGSWEATING
PLANNING AND INTERVENTIOSPLANNING AND INTERVENTIOS
IV FLUIDSIV FLUIDS PAIN MEDICATIONPAIN MEDICATION X RAYS OR CTX RAYS OR CT STRAIN URINESTRAIN URINE LITHOTRIPSYLITHOTRIPSY SURGERYSURGERY
CRITERIA FOR ADMISSONSCRITERIA FOR ADMISSONS
PAIN MANAGEMENTPAIN MANAGEMENT SOLITARY KINDEYSOLITARY KINDEY ILEUSILEUS BLADDER STONESBLADDER STONES INFECTIONINFECTION
DISCHARGEDISCHARGE
PAIN MEDSPAIN MEDS INCREASE FLUIDSINCREASE FLUIDS STRAIN URINESTRAIN URINE RETURN FOR INCREASE PAIN OF RETURN FOR INCREASE PAIN OF
VOMITINGVOMITING
TESTICULAR TORSIONTESTICULAR TORSION
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
UNILATERAL TESTICULAR PAINUNILATERAL TESTICULAR PAIN SCROTAL SWELLINGSCROTAL SWELLING REDNESS AND TENDERNESSREDNESS AND TENDERNESS
DIAGNOSTICDIAGNOSTIC
UAUA CBCCBC DOPPLER ULTRASOUND FLOW STUDYDOPPLER ULTRASOUND FLOW STUDY
EPIDIDYMIDITISEPIDIDYMIDITIS
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
GRADUAL ONSET OF SCROTAL PAINGRADUAL ONSET OF SCROTAL PAIN RED, SWOLLEN, WARM SCROTUMRED, SWOLLEN, WARM SCROTUM DYSURIA OR URETHRAL DISCHARGEDYSURIA OR URETHRAL DISCHARGE TENDERNESS IN GROIN OR LOW ABDTENDERNESS IN GROIN OR LOW ABD DUCK WADDLE GAITDUCK WADDLE GAIT
DIAGNOSTICDIAGNOSTIC
UA WITH C&SUA WITH C&S GRAM STAIN IF ANY DISCHARGEGRAM STAIN IF ANY DISCHARGE ULTRASOUNDULTRASOUND
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
ANTIBIOTICSANTIBIOTICS ANALGESICSANALGESICS SCROTAL SUPPORT WITH ELEVATIONSCROTAL SUPPORT WITH ELEVATION AVOID PHYSICAL STRAINAVOID PHYSICAL STRAIN
URETHRAL INJURYURETHRAL INJURY
FEMALESFEMALES
RARERARE CHILDBIRTH OR VAGINAL SURGERYCHILDBIRTH OR VAGINAL SURGERY STRADDLE INJURIESSTRADDLE INJURIES PELVIC FRACTUREPELVIC FRACTURE
MALESMALES
TRAUMATRAUMA MUTILATIONMUTILATION SEXUAL ACTIVITYSEXUAL ACTIVITY INSTRUMENTATIONINSTRUMENTATION
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
PAINPAIN HEMATURIAHEMATURIA BLOOD AT URINARY MEATUSBLOOD AT URINARY MEATUS HEMATOMA OF ABD.OR PERNIEUMHEMATOMA OF ABD.OR PERNIEUM
DIAGNOSTICDIAGNOSTIC
LABSLABS X RAYSX RAYS
TREATMENTTREATMENT
CATHETERIZATIONCATHETERIZATION SURGERYSURGERY
BLADDER RUPTUREBLADDER RUPTURE
SIGNS AND SYPTOMSSIGNS AND SYPTOMS
PAINPAIN INABILITY TO VOIDINABILITY TO VOID POSSIBLE HEMATURIAPOSSIBLE HEMATURIA BLOOD AT MEATUSBLOOD AT MEATUS ABD. TENDERNESSABD. TENDERNESS LOW ABD. OR PERINEAL HEMATOMALOW ABD. OR PERINEAL HEMATOMA
DIAGNOSTICDIAGNOSTIC
LABS -- CBC, PT, PTT, UALABS -- CBC, PT, PTT, UA
X-RAYS – 3 VIEW ABD.X-RAYS – 3 VIEW ABD.
PELVIS PELVIS
PELVIC ULTRASOUNDPELVIC ULTRASOUND
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
HEMODYNAMIC STABLE (ESPECIALLY HEMODYNAMIC STABLE (ESPECIALLY WITH PELVIC FRACTUREWITH PELVIC FRACTURE
SURGERYSURGERY SUPRAPUBIC TAPSUPRAPUBIC TAP PAIN MEDSPAIN MEDS ANTIBIOTICSANTIBIOTICS SURGERYSURGERY
RENAL TRAUMARENAL TRAUMA
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
PAINPAIN NAUSEA AND VOMITINGNAUSEA AND VOMITING RETROPERITONEAL HEMATOMARETROPERITONEAL HEMATOMA HEMATURIAHEMATURIA OLIGURIAOLIGURIA CONTUSIONSCONTUSIONS ABSENT OR DECREASED BOWEL ABSENT OR DECREASED BOWEL
SOUNDSSOUNDS
DIAGNOSTIC PROCEDURESDIAGNOSTIC PROCEDURES
LABSLABS CBC, SERIAL HEMATOCRITS, CBC, SERIAL HEMATOCRITS,
LYTES, BUN, CREATININE, PT, PTT, UA, LYTES, BUN, CREATININE, PT, PTT, UA,
TYPE AND CROSSTYPE AND CROSS
X-RAYS ABD FILMS, CT OF ABDX-RAYS ABD FILMS, CT OF ABD
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
MONITOR HEMODYNAMIC STATUSMONITOR HEMODYNAMIC STATUS BLOOD TRANSFUSIONSBLOOD TRANSFUSIONS PAIN MEDSPAIN MEDS ANTIBIOTICSANTIBIOTICS SURGERYSURGERY
PRIAPISMPRIAPISM
MEDICAL HISTORYMEDICAL HISTORY
SICKLE CELL CRISISSICKLE CELL CRISIS MEDICATIONMEDICATION SPINAL CORD INJURYSPINAL CORD INJURY
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
PENILE ERECTIONPENILE ERECTION BLADDER DISTENTIONBLADDER DISTENTION PARALYSIS WITH SPINAL CORD INJURYPARALYSIS WITH SPINAL CORD INJURY PAINPAIN ANXIETYANXIETY
DIAGNOSTIC PROCEDURESDIAGNOSTIC PROCEDURES
LABSLABS
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
PAIN MANAGEMENTPAIN MANAGEMENT CATHETERIZATIONCATHETERIZATION UROLOGICAL CONSULTUROLOGICAL CONSULT SURGICAL INTERVENTIONSURGICAL INTERVENTION NEEDLE ASPIRATIONNEEDLE ASPIRATION
FOREIGN BODIESFOREIGN BODIES
SIGNS AND SYMPTOMSSIGNS AND SYMPTOMS
PAINPAIN MEDICAL HISTORYMEDICAL HISTORY CHANGE IN URINARY PATTERNCHANGE IN URINARY PATTERN HEMATURIAHEMATURIA URETHRAL DISCHARGEURETHRAL DISCHARGE FB VISIBLE AT MEATUSFB VISIBLE AT MEATUS
DIAGNOSTIC PROCEDUREDIAGNOSTIC PROCEDURE
UAUA URETHRAL CULTUREURETHRAL CULTURE KUBKUB
PLANNING AND INTERVENTIONPLANNING AND INTERVENTION
TREAT BLADDER DISTENTIONTREAT BLADDER DISTENTION ESTABLISH URINE OUTPUTESTABLISH URINE OUTPUT TREAT PAINTREAT PAIN PREPARE FOR MEDICAL PREPARE FOR MEDICAL
INTERVENTIONINTERVENTION MEDS. PAIN, ANTIBIOTICS, MEDS. PAIN, ANTIBIOTICS,
CONSCIOUS SEDATIONCONSCIOUS SEDATION PSYCH CONSULTPSYCH CONSULT
DISCHARGE INSTRUCTIONSDISCHARGE INSTRUCTIONS
MEDICATIONSMEDICATIONS MONITOR URINE OUTPUTMONITOR URINE OUTPUT HYDRATION HYDRATION RETURN IF STREAM FORCE DECLINESRETURN IF STREAM FORCE DECLINES HEMATURIA DOES NOT RESOLVEHEMATURIA DOES NOT RESOLVE