Q:

A 75-year-old alcoholic presents with a mass up to umbilicus, urinary dribbling, incontinence, and clothes smelling of ammonia. What is the next step in management?

waelhammad
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2022-11-04
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A 75-year-old alcoholic presents with a mass up to umbilicus, urinary dribbling, incontinence, and clothes smelling of ammonia. What is the next step in management?

  1. Urethral catheter
  2. Suprapubic catheter
  3. Antibiotics
  4. Condom catheter
  5. Nephrostomy
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waelhammad
2022-11-04
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The key is A. Urethral catheter. [Alcoholism can cause urinary retention but it is a less common cause of retention].

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