Topics in Emergency Medicine

Fontanarosa, Phil B.

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Walther, Thomas R.; Weigand, John V.

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Polsky, S. Scott; Gallo, Ugo E.

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Fontanarosa, Paula M.; Hellman, Martin G.

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ALTHOUGH TRUE UROLOGIC emergencies are uncommon in pediatrics, abnormalities of genitalia or problems with voiding frequently bring anxious children and their parents to the emergency department (ED). Evaluation of the frightened child with genitourinary pain or trauma is difficult for even the most experienced physician. Recognition, stabilization, and management of pediatric genitourinary disturbances require sound medical knowledge as well as sensitivity for the child and family involved. Whether the problem involves simple reassurance for retractile testes, rapid recognition and intervention for testicular torsion, or delicate discussion and compassionate examination of the sexually abused child, the emergency physician or pediatrician must be prepared.

Custodio, David E.; Henschen, Ross R.

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OVER THE PAST DECADE, the incidence and spectrum of sexually transmitted diseases (STDs) have increased dramatically, now reaching epidemic proportions. Although these diseases have afflicted people for many years, the association with newly recognized and more serious conditions, such as acquired immunodeficiency syndrome (AIDS), has fostered growing awareness and even greater emphasis on STDs.

Reid, David L.; Goldman, George E.

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GENITOURINARY INFECTIONS encompass a wide spectrum of disease processes ranging from uncomplicated cystitis in adult nulliparous women to life-threatening urosepsis in the elderly. Diagnostic and therapeutic decisions must be based on a sound understanding of infectious disease pathophysiology combined with appropriate judgment. This article presents a general approach for the emergency department (ED) assessment and management of nonsexually transmitted genitourinary infections.

Giorgio, Gary T.; Mackan, Michael D.

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EMERGENCY PHYSICIANS frequently encounter a variety of problems related to the male genitourinary system, ranging from benign rashes to the true urologic emergency of priapism.

Nelson, Richard N.

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Fontanarosa, Phil B.; Payne, Lawrence N.

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PATIENTS' INABILITY to urinate represents one of the most common genitourinary problems encountered by emergency physicians. Although acute urinary retention is not usually life threatening, the disorder produces considerable discomfort for the patient, may account for significant morbidity, or may signal a more serious underlying disease process. Urinary retention necessitates accurate recognition and prompt bladder drainage, not only to alleviate symptoms, but also to prevent the development of dangerous sequelae, such as urosepsis and obstructive nephropathy.

Blanda, Michelle

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