MedBugs: SAQ #629

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Case: Urinary retention

A 35-year-old female presents to your emergency department with suprapubic discomfort and inability to urinate for the last 24 hours. Bladder scan showed 1000 mL of urine in the bladder. She has a past medical history of hay fever.

Vitals:

HR 105 bpm
BP 120/80 mmHg
Sats 99% RA
RR 16/min
Temp 36.5°C

1. List (4) prioritised causes of urinary retention in THIS patient. 4 marks

2. State the (4) most important components of the physical exam. Give your rationale for each choice. 4 marks

You plan to insert a urinary catheter.

3. List (4) contraindications, absolute or relative, to performing this procedure. 4 marks

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Case: Urinary retention

1. List (4) prioritised causes of urinary retention in THIS patient. 4 marks

2. State the (4) most important components of the physical exam. Give your rationale for each choice. 4 marks

3. List (4) contraindications, absolute or relative, to performing this procedure. 4 marks

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