MedBugs: SAQ #627

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Case: Priapism

A 62-year-old man presents to your ED at 1am in severe pain and distress with an erection which has been present for the past 3 hours. He denies any significant PMHx except for erectile dysfunction for which has been seeing a urologist.

1. Complete the table below, listing (4) points of differentiation between low-flow and high-flow priapism. 4 marks

2. List (3) medications from different drug classes which can cause priapism. 3 marks

3. Why is low-flow priapism considered a urologic emergency? 1 mark

4. Outline a step-wise approach to the management of this patient’s priapism in the ED. 4 marks

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Case: Priapism

1. Complete the table below, listing (4) points of differentiation between low-flow and high-flow priapism. 4 marks

2. List (3) medications from different drug classes which can cause priapism. 3 marks

3. Why is low-flow priapism considered a urologic emergency? 1 mark

4. Outline a step-wise approach to the management of this patient’s priapism in the ED. 4 marks

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