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Emergencies >> Urinary tract  obstruction

Background:

Tumors (primary tumors, metastases) compress the urinary tract


Symptoms:

Oliguria/anuria, Pain in the region of bladder or kidneys


Diagnosis and therapy:

  1. Physicial examination
  2. Ultrasound: Full bladder? Distended ureters? Renal congestion?
  3. Urology consult (if neccessary for internal / external drainage)
  4. In case of bladder dysfunction, place catheter. If catheter cannot be inserted due to obstruction, consider suprapubic puncture (use ultrasound and a venous catheter for fast relief)
  5. Treatment of underlying condition
  6. Balance fluids (input/output)
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