60-yrs-old male with a poor stream of urine, post-void residual urine is 400ml, b/l hydronephrosis and prostate weighing 70 g. His urea is 120 and creates 3.5. Ideal “next immediate” step :
Correct Answer: Catheterize with Foley catheter
Description: Catheterization is mandatory for acute urinary retention. Spontaneous voiding may return, but a catheter should be left indwelling for 3 days while detrusor tone returns."- CSDT 13/e This is a case of bladder outlet obstruction most likely due to BHP (can also be due to ca). So the immediate next step is to drain the bladder a transurethral Foley catheter. If this fails suprapubic drainage can be done. Ref : Bailey and Love 25/e p1316
Category:
Anatomy
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now