urology

When should you suspect obstructive uropathy, and what is the evaluation and management?

A 25-year-old male is brought to the ED by EMS with pain in the right scrotum after a motorcycle crash. The patient was wearing a helmet, could ambulate at the scene, and states his main concern is his right scrotal pain. Review of systems is unremarkable. He has ecchymosis of right scrotum with exquisite tenderness and perineal bruising. What’s the next step in your evaluation and treatment?

This post covers the evaluation and management of hematuria in the ED setting.

Patients with ostomies and urostomies can experience a variety of complications. This post provides you with the details.

Patient disposition is one of the keys in emergency medicine. What should we do with patients diagnosed with pyelonephritis?

This EM Educator evaluates urinary retention, the ED evaluation, and management.

Penile zipper injuries and entrapment are no laughing matter… this post from Nima Rejali gives you what you need to handle these problems effectively.

What is prostatitis, how is it diagnosed, and what is the treatment? This post from Summer Chavez gives you a deep dive into the prostate.

A 34-year-old male presents with intermittent, sharp, left-sided flank pain. He took ibuprofen with minimal relief, but came to the ED when he noticed blood-tinged urine. He has also experienced severe nausea without emesis. He appears uncomfortable, writhing in bed. What is the patient’s diagnosis? What’s the next step in your evaluation and treatment?

This edition of emDocs Cases looks at key questions in the patient with a kidney stone. How can you optimize your care of these patients?