Common urinary histories - retention Flashcards Preview

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Flashcards in Common urinary histories - retention Deck (9)
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1
Q

What would you want to ask about the sypmtom of retention?

A
  • Duration
  • Onset
  • Timing
  • Progression
  • Constipation
  • Previous catheterisation
2
Q

What urological symptoms would you want to ask about in someone with retention?

A
  • Storage - frequency, urgency, nocturia, incontinence
  • Infection - dysuria, haematuria, odour, discharge
  • Prostatic - hesitancy, poor flow, dribbling, incomplete emptying
3
Q

What features associated with retention suggest prostatic hypertrophy as a cause?

A
  • History of hesitancy, poor flow, terminal dribbling
  • Elderly male
4
Q

What features assocaited with urinary retention suggest urethral stricture as a cause?

A

History of trauma/recurrent catheterisation

5
Q

What features associated with retention suggest bladder neck obstruction?

A

May have haematuria

6
Q

What featurs associated with retention suggest a UTI as the cause?

A

Dysuria

7
Q

What are urinary causes of urinary retention?

A
  • BPH
  • Urethral stricture
  • Bladder neck obstruction
  • UTi
  • Constipation
  • Prostatitis
  • Pelvic mass
  • Genital herpes
  • Clot retention
  • Phimosis
8
Q

What are neuorlogical causes of urinary retention?

A
  • MS
  • Spinal cord injury/compression
9
Q

What drugs can cause urinary retention?

A

Anticholinergic drugs

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