Priapism (Deep Dive R8 MW) - Listen - EM Clerkship

Priapism (Deep Dive R8 MW)

Listen now

Description

* Two Types of Priapism * Low Flow “Ischemic” (Most Common >95% of Cases) * Urologic Emergency * Results in Erectile Dysfunction * Painful * Common Etiologies * Idiopathic * Erectile Dysfunction Drugs (ex. sildenafil) * Sickle Cell Disease * Trazodone (“TrazoBONE”) * Cocaine/Meth * High Flow * Caused by Trauma and AV Fistulas * Management * Analgesia * Dorsal Penile Nerve Block * Aspiration * Can intermittently irrigate with normal saline to dilute the clot * Injection * Phenylepherine * Recommend cardiac monitor

More Episodes

See all »

Ischemic Stroke (Deep Dive MW R20)

Symptoms of stroke – weakness, facial droop, slurred speech. vision loss, vertigo, ataxia, confusion or changes to mental status. The “typical” stroke workup – blood glucose level, CTH non-con, CTA head/neck, CT Perfusion, CBC BMP Troponin EKG CXR and Coags. Common stroke...

Published 05/16/24

EM Clerkship

Published 05/16/24

Round 20 (MW) Stroke Symptoms

You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.” Initial Vitals: HR: 51 BP: 201/98 Temp: 98.0F RR: 18 O2: 99% (Room Air) Critical...

Published 05/01/24