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SELF ASSESSMENT QUESTION |
| Confusion |
Department of Medicine, Sound Shore Medical, Center of Westchester, New York Medical College, USA
Correspondence to:
Correspondence to:
Dr Shanmugam Uthamalingam
Department of Medicine, Sound Shore Medical, Center of Westchester, New York Medical College, 16 Guion Place, New Rochelle, New York 10802, USA; uthamalingam@hotmail.com
Submitted 17 December 2002
Accepted 6 February 2003
| The first 150 words of the full text of this article appear below. |
A 78 year old man presented to the emergency room with a one day history of haematuria and lower abdominal pain. He denied having fever, dysuria, or dizziness. His past medical history was significant for carcinoma of prostate diagnosed 10 years ago. He had been treated with prostate seeding (brachytherapy) four years previously. He denied taking any other medications.
On examination he was alert, oriented in time, place and person, with a pulse 88 beats/min with regular rhythm, blood pressure 130/70 mm Hg, and temperature 37.4°C. Cardiorespiratory examination was within normal limits. Abdominal examination revealed a soft but tender hypogastrium with normal bowel sounds. There was no focal neurological deficit. A 20 size foley catheter was placed with drainage of approximately 350 ml of blood tinged urine.
An urgent urology consultation was obtained and cystoscopy was performed. The bladder was irrigated with 1.5% glycine solution during the perioperative period.
Relevant Article
Postgrad. Med. J. 2004 80: 47-48.
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