A 72-year-old male attends your department. He has been unable to pass urine for the last 16 h. He has severe suprapubic discomfort and is very distressed. He managed two drops for the triage nurse when asked for a urine sample.
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The patient has a large swelling that is dull to percussion when you examine his abdomen. It is tender. You diagnose AUR. You catheterise him. What important factors must be documented in his notes regarding this procedure and his presentation that will guide short and long term management plans?
Can you think of five factors regarding the procedure and ten factors regarding the history?
What examination findings must be documented?
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Which tests would you perform?
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Although management differs between centres, what would be low risk features that would allow you to discharge the patient for OPD follow up?
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