HISTORY:
Urinary retention symptoms for
Worsening factors:
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Abdomen: , , ,
Anorectal: DRE , prostate , anus
Genital: , testicles , penis
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
ASSESSMENT:
Urinary retention due to
DDx:
PLAN:
- Blood work: , , ,
- Urinalysis
- Urine culture
- Renal ultrasound
- CT scan of the abdomen and pelvis
- Post-void residual urine volume
-
-
- Catheterization
- Stop medications that may be causing urinary retention (decongestants, antihistamines, antidepressants, diuretics, opioids)
- Referral to urologist
- Keep catheter in place until urologist appointment
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as fever, hematuria, or urinary incontinence
- Go to ER if unable to urinate or severe lower abdominal pai