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Urethral Injury in the Emergency Department

Clinical Features, Diagnostics and Treatment

#Urology #Diagnosis #Management #Urethral #Injury #Urethrogram
Urethral Injury ... Diagnosis #Management #Urethral ... #Injury #Urethrogram
#Urethral Injury
#Urethral Injury
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Acute Kidney Injury ... • Bilateral ureteral ... Acute #Kidney #Injury
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal

PRE-RENAL 
Impaired perfusion: 
•
of Acute Kidney Injury ... Cervical cancer Urethral ... Acute #Kidney #Injury
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Immune mediated injury ... Renal Mass Ureteral ... Diverticulum Urethra ... Urethritis • Urethral
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... Postrenal: • Ureteral ... Acute #Kidney #Injury
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... obstruction: • Ureteral ... tube(s) and/or ureteral ... Acute #Kidney #Injury
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
of Acute Kidney Injury ... malignant) • Ureteral ... Acute Tubular Injury
Asymptomatic Bacteriuria - IDSA Indications for Treatment
Healthy non-pregnant women - NO
Healthy pregnant women - YES
Functionally impaired
following spinal cord injury ... NO Indwelling urethral
Mixed Urinary Incontinence: Pathogenesis and Clinical Findings

Urgency Urinary Incontinence (UUI) -> Urinary leakage preceded by a
tumour, stone, BPH, urethral ... intra-abdominal pressure -> Urethral ... poorly coapting urethra ... unit; Decreased urethral ... Studies - SUI — Decr urethral