Genitourinary Archives - Page 2 of 3 - The Emergency Medical Minute

Genitourinary

Podcast #294: Rhabdomyolysis

Author: Michael Hunt, M.D. Educational Pearls Rhabdomyolysis is caused by the destruction of skeletal muscle that leads to the release of myoglobin, which causes renal failure. It presents with pain and weakness in the affected muscle, as well as dark urine. Diagnosis is made with creatinine kinase levels It can happen to extreme athletes after…

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Deep Dive #6: Bacteriuria and the Elderly

Author: Heidi Wald, MD, MSPH  Associate Professor of Medicine – University of Colorado School of Medicine, Physician Advisor – Colorado Hospital Association Dr. Heidi Wald explains common misconceptions of UTI’s in elderly patients and provides tips on how to properly identify them. References: Trestioreanu , Adi Lador , May-Tal Sauerbrun-Cutler and Leonard Leibovici  Antibiotics for asymptomatic bacteriuria  Cochrane…

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Podcast #216: Roller Coasters and Kidney Stones

Author: Aaron Lessen, M.D. Educational Pearls: Anecdotal evidence suggests that roller coasters may help with kidney stones. A recent study used a model of a kidney and ureter with different sized stones and put it on Thunder Mountain roller coaster in Disney World. There was “dramatic passage” of the kidney stones at the rear of…

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Podcast #206: Urethral Injuries

Author: Jared Scott, M.D. Educational Pearls: DDx for blood at urethral meatus includes: pelvic fracture, ruptured bladder, kidney laceration, penile trauma. Retrograde Urethrogram (RUG) must be performed before placing foley and is critical for diagnosis. References: https://www.ncbi.nlm.nih.gov/pubmed/16488282  

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Podcast #131: Antibiotics for a UTI

Run Time: 4 minutes Author: Holly Anderson, PharmD PGY-1 Resident Educational Pearls: Patients with pyelonephritis typically show a leukocytosis, fever, nausea, HA, CVA tenderness. Patients with a lower tract UTI will have absence of systemic symptoms with predominantly voiding symptoms of frequency, urgency, dysuria, and hematuria. These 2 types of UTI require different antibiotics and…

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Podcast #116: Catch a UA in Infants

Run Time: 2 minutes Author: Dylan Luyten M.D. Educational Pearls: An upcoming study in the Journal of Pediatrics, to be published in July, looked at reducing unnecessary urinary catheterization rates in infants. In the study they investigated bagged urines on infants and every infant got a catheter. It was found that if you restricted true…

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Podcast #113: ASB vs. UTI

Run Time: 4 minutes Author: Holly Anderson, PharmD PGY-1 Resident Educational Pearls: ASB is defined as an individual with a bacteria count >100,00 or pyuria present on UA. Patients will likely present with another chief complaint and will have no localizing urinary symptoms. ASB is common in elderly patient with an indwelling catheter which frequently…

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Podcast #73: Imaging for Kidney Stones

Run Time: 3 minutes Author: Dr. Jared Scott Educational Pearls: From 1992 to 2009, the number of CTs used to diagnose kidney stones has tripled. The radiation given by a CT of the abdomen and pelvis is roughly equivalent to the radiation given by 100 chest Xrays. American College of Radiologygg reports even one CT scan…

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Podcast #66: Medications for Kidney Stones

Run Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: NSAIDS should be prescribed for all patients with kidney stones. This helps to reduce the hyperactivity of your ureter. Narcotics work well for treating kidney stone pain. This should be accompanied by NSAIDS for best results. Using diuretics or fluid therapy do not significantly treat kidney…

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Podcast #47: Broken Penis

Run Time: 2 minutes Author: Dr. Erik Verzemnieks Educational Pearls: During an erection the corpus cavanosum fills with blood, when enough stress is placed on the penis during an erection the surrounding tissue can rupture. A broken penis most often occurs during intercourse in the “reverse cowgirl” position. This condition requires surgical repair of the…

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