Clinical

Question 1

What are the 2 ways to catheter a patient?

Answer 1

1. Urethral

2. Suprapubic (take care not to pierce the peritoneal cavity)

Question 2

Frank/visible/macroscopic haematuria can present either constantly throughout urination or intermittently.

What type would suggest a bladder/URT involvement as opposed to prostatic/urtethral involvement?

Answer 2

Constant haematuria = bladder/URT - as blood has chance to pool and mix in bladder

Intermittent = LRT - prostate/urethra

Question 3

What is the mnemonic to remember prostate symptoms?

Answer 3

FUN PISS

Frequency
Urgency
Nocturia

Painful urination
Incontience
Stream (weak or dribbling)/straining
STD Hx/ Stone Hx

Question 4

Painless visible haematuria is what until proven otherwise?

Answer 4

Malignancy

Question 5

In what 3 circumstances should haematuria patients be admitted?

Answer 5

• Clot/ clot retention
• anaemia
• unwell