Urinary Retention or Ischuria

Urinary Retention (Ischuria): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Sonography (ultrasound examination) of the urinary bladder; if urinary retention is confirmed, placement of a urinary bladder catheter. Kidney sonography (ultrasound examination of the kidneys) – to detect obstruction (occlusion) and masses … Urinary Retention (Ischuria): Diagnostic Tests

Urinary Retention (Ischuria): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate ischuria (urinary retention): Leading symptoms Severe lower abdominal pain Palpable lower abdominal tumor Overflow bladder (symptom: Urinary dribbling; in the case of the overflow bladder, urinary retention has led to overdistension of the urinary bladder, which in turn has led to the failure of the sphincter) → backflow … Urinary Retention (Ischuria): Symptoms, Complaints, Signs

Urinary Retention (Ischuria): Therapy

In acute urinary retention (medical emergency), the most urgent therapy is to restore urine outflow. This is usually done by suprapubic bladder puncture (= percutaneous (“through the skin“) puncture of the urinary bladder above the pubic bone). After derivation of the urine is the necessary diagnostics. If there is still pain after urine diversion, paracetamol … Urinary Retention (Ischuria): Therapy

Urinary Retention (Ischuria): Test and Diagnosis

2nd-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification. Small blood count Fasting glucose (fasting blood glucose) Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment, if necessary urine culture (pathogen detection … Urinary Retention (Ischuria): Test and Diagnosis

Urinary Retention (Ischuria): Medical History

Medical history (history of illness) represents an important component in the diagnosis of ischuria (urinary retention). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). What complaints have you noticed? How long have these changes existed? Do you suffer from stronger urge to urinate? How often do you have to urinate every day? … Urinary Retention (Ischuria): Medical History

Urinary Retention (Ischuria): Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Infectious and parasitic diseases (A00-B99). Genital herpes, acute Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Constipation (constipation) Neoplasms – tumor diseases (C00-D48) Cervical carcinoma (cervical cancer). Urinary bladder tumors, unspecified (e.g., pedunculated urinary bladder tumors). Urethra carcinoma (urethral carcinoma, urethral cancer). Prostate carcinoma (prostate … Urinary Retention (Ischuria): Or something else? Differential Diagnosis

Urinary Retention (Ischuria): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart Auscultation of the lungs Inspection and palpation of the abdomen (belly), inguinal region (groin region) (tenderness?, tapping pain?, coughing pain?, … Urinary Retention (Ischuria): Examination