Category: Urology

Categories
Urology

Urinary retention

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast is a brief review of the management of urinary retention in children. The most common causes are UTI and constipation – but you must be aware of neurological problems and assure that you history is thorough and your physical exam complete.

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References

Burla MJ, Benjamin J. Pediatric Urinary Retention in the Emergency Department: A Concerning Symptom with Etiology Outside the Bladder. J Emerg Med. 2016 Feb;50(2):e53-6. PMID: 26482829.

Peter JR, Steinhardt GF. Acute urinary retention in children. Pediatr Emerg Care. 1993 Aug;9(4):205-7. PMID: 8367356.

Gatti JM, Perez-Brayfield M, Kirsch AJ, Smith EA, Massad HC, Broecker BH. Acute urinary retention in children. J Urol. 2001 Mar;165(3):918-21. PMID: 11176514.

Podcast: Play in new window | Download (Duration: 7:21 — 10.1MB)

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Categories
Urology

Testicular Pain

Acute testicular pain is a common presenting complaint in the Pediatric Emergency Department. In this episode of PEM Currents you will learn about testicular torsion, epididymitis, torsion of the appendix testis and appendix epididymis, inguinal hernias and more. And remember, first and foremost, time is testicle!

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References

Jefferies MT, Cox AC, Gupta A, Proctor A. The management of acute testicular pain in children and adolescents. BMJ 2015; 350:h1563.

Lewis AG, Bukowski TP, Jarvis PD, et al. Evaluation of acute scrotum in the emergency department. J Pediatr Surg 1995; 30:277.

Podcast: Play in new window | Download (Duration: 16:46 — 15.7MB)

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Categories
Urology

Kidney Stones

It’s an epidemic! OK, so not quite, but we are seeing a rise in the number of kidney stones recently and we’re not quite sure why. This episode of PEMCurrents will focus on diagnosis and treatment of stones and answer such questions as; Which pain medicine should I order first? and which is the better imaging test, ultrasound or CT?

Podcast: Play in new window | Download (Duration: 20:06 — 9.5MB)

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Categories
Podcast Urology

Summer Penile Syndrome

PEM Currents returns with a second episode focusing on a rather “private” matter. Summer penile syndrome is a hypersensitivity reaction  to an insect bite (usually a chigger) that causes pruritis and edema to the skin of the penile shaft. This episode reviews the diagnosis and management of this surprisingly common clinical entity.

Podcast: Play in new window | Download (Duration: 4:22 — 4.1MB)

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