Trauma , Urology , Psychiatry , Toxicology

Auto-Orchiectomy: Examining Cases, Causes, and Motives

12/3/2024 Samantha K. Kos, MS , Hannah G. Davis-Adams, BS, BA , Brooke M. Beers, MS , Bryan R. Troop, MD, FACS

Auto-orchiectomy has been linked to psychosis, substance use, and psychiatric disorders. Treating the result of the behavior is critical - but it’s also important to address the underlying impetus.

Urology

The Deadliest Genital Ulcer Is Not Infectious: A Case Report of Penile Calciphylaxis

10/31/2024 Andrew Good, DO , Agata Dow, MD , Chris Kilen, DO , Katherine Jones

Penile calciphylaxis is a harbinger of looming mortality, indicating need for a clear goals of care discussion.

Urology , Nephrology , Ultrasound

Ureteric Stone: Use of POCUS in Atypical Presentation

10/31/2024 Tahir Shahzad, MD

Urinary tract stones are a frequent chief complaint in the emergency department. Point-of-care ultrasound speeds a diagnosis and helps direct appropriate management.

Infectious Disease , Urology

Not Just Rectal Bleeding: A Case of Fournier’s Gangrene

7/10/2024 Elaine Hsiang, MD , Claire Perrin , Maria Raven, MD, MPH, MS, FACEP

Fournier’s gangrene is a surgical emergency. Time to surgical intervention is the most significant modifiable risk factor for mortality in these necrotizing infections, and early intervention can halv

Urology , Trauma , Sports Medicine , Pediatric EM

Kidney Chronicles: A Pediatric Blunt Renal Trauma Case Report

7/15/2023 Natalie Zink , Joseph Q. McDaniels , Katherine Rogers , Bradley Morganstern

Unintentional injury is a major cause of morbidity and mortality in the pediatric age group, with urogenital injury occurring in 10-20% of blunt abdominal trauma cases.1,2 Depending on the severity, s

Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD

Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi

Nephrology , Urology

Unusual Causes of Hematuria

10/10/2022 Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD

Hematuria, while a common presentation to the ED, can have myriad causes. Some of those causes, such as a ruptured AAA and tuberculosis, can be life-threatening if not recognized. When working up a pa

OB/GYN , Urology

Acute Urinary Retention: A Rare Case of Incarcerated Uterus in the Gravid ED Patient

6/10/2022 Katherine Tougas , Bryson Hicks, MD , Ryanne Mayersak, MD, MS

When a pregnant woman, especially at 14 to 16 weeks gestation, shows signs of acute urinary retention, consider retroverted incarcerated uterus as a potential cause.

Ultrasound , Urology

No Need to Fear Fournier’s with POCUS

6/10/2022 Wayne Fu, MD, MBA , Josh Greenstein, MD

Point-of-care ultrasound may be the best, and quickest, way to diagnose Fournier’s Gangrene, an acute necrotic infection of the perineal, genital, or perianal regions.

Urology , Nephrology

Hematuria in the ED: Evaluation and Management

4/10/2022 J. Ryan Bingham, MD , Victoria Klovenski, MD

Hematuria is a common complaint in the emergency department - and one that is largely benign. Nonetheless, there are several emergent conditions the emergency physician should consider when evaluating

Browsing: Urology