HTHSCI 1DT3 Lecture Notes - Lecture 6: Lymphedema, Kidney Stone Disease, Prednisolone

• School: McMaster University
• Department: Health Sciences
• Course: HTHSCI 1DT3
• Professor: Carl Richards

Document Summary

Interruption in the continuity of an epithelial surface. Development of scc in the ulcer (marjolin"s ulcer) 4 layer graded compression bandage (if abpi >0. 8) Collection of interstitial fluid due to blockage or absence of lymphatics. Lumps in the groin and scrotum 106. Bladder outflow obstruction precedes severe suprapubic pain c distended palpable bladder. Frequency, hesitancy, poor stream, terminal dribbling, overflow incontinence. Acute retention on a chronic background may go unnoticed for days due to lack of pain. Se cr may be up to 1500um. Renal function should return to normal over days. Kidneys produce a lot of urine in the acute phase after relief of obstruction. Must keep up c losses to avoid dehydration. Diuresis may loss of na and hco3. Blood: fbc, u+e, psa (prior to pr) Use correct catheter: e. g. 3-way if clots. Tamsulosin: risk of recatheterisation after retention. More likely to be successful if predisposing factor and lower residual volume (<1l)