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| ==WLA Numbers==
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| ==Policies==
| | [[Category:Admin]] |
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| ==Urology==
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| Painless Hematuria
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| - CT urogram: In ED if active painless bleeding AND only if pt has gross hematuria, sig drop Hct, or anemic from bleeding.
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| - if not active bleeding -> outpatient CT urogram & outpt urology referral
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| 1. Our standard foley catheters are 16 F coudet catheters
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| 2. If the patient has a prior stricture, surgery, TURP then do not keep attempting to place a larger catheter. This will just cause trauma and bleeding. Call urology
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| 3. In the case of BPH a LARGER catheter may pass more easily
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| 4. In gross hematuria, please use a 20 F three way catheter for irrigation. The hand irrigation portion is the most effective way of getting the clots out.
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| 5. For ruling out kidney stones, a CT KUB is the study of choice
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| 6. For painless gross hematuria, please order a CT urogram. A noncontrast study and contrast study will be performed.
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| 7. Uric acid stones cannot be seen on a KUB but can be seen on a CT
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| 8. Urology really does want the stone for analysis. Keep giving the urine strainers to the discharged patients
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| 9. Tamulosin is the preferred agent for helping the patient pass stones. If they are already on hytrin then just keep them on it.
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| 10. If a patient is post op, please do NOT have the RN's automatically place a foley in triage. This may be contraindicated after certain surgeries
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| 11. Please order urine cultures when diagnosing recurrent UTI's. Many times it is not a UTI and the culture helps them when seeing the patient in clinic.
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| 12. Please DO NOT tell patients to go to urology clinic without an appointment. Send a referral or direct book the patient. Later the same day or the next day may be too soon. For example, a kidney stone patient should be seen in 2-3 days to allow time for the stone to pass. They won't change management if seen later the same day or the next day.
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| ==External Links==
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| ==References==
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| <references/>
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