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Re: urinary obstruction From: DoctorJoe@aol.com Tue Mar 13 06:44:37 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gordon Goldman: "Re: urinary obstruction" Previous message: DoctorJoe@aol.com: "LEGAL: Keep this in mind - YOU can sue!" Maybe in reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "urinary obstruction" Next in thread: Gordon Goldman: "Re: urinary obstruction" Reply: Gordon Goldman: "Re: urinary obstruction" In a message dated 3/13/07 7:04:47 AM, Darryl.elrod@LAKENHEATH.AF.MIL writes: > > Our plan so far has been foley catheter drainage for 7-10 days with > prophylactic antibiotics.  The urologist is going to do a cystogram today to evaluate > for possible bladder injury during laparoscopy and will do a VCUG at 7-10 > days to look for reflux.  NPO for now until she begins to pass flatus again. >   > Any thoughts on workup, management or differential? > Sounds more like some type of autonomic adynamic neuropathy (how's THAT?), rather than some anatomic damage. She had failure of peristalsis and failure of bladder function. Could be residual anesthesia effect. I'm not sure how methotrexate or rheumatoid arthritis would fit in, but you could ask the RHEUM guy. I'm also not sure how your small biopsy or trocar punctures would effect all those organs' nerve supplies at the same time. Probably some humoral etiology (again, drugs?). Joe P. P.S. Isn't she a bit young, at 24, to have rheumatoid arthritis? Or is it true JRA and maybe she's had a LONG history of exposure to various (possibly toxic) chemotherapeutic agents? Next message: Gordon Goldman: "Re: urinary obstruction" Previous message: DoctorJoe@aol.com: "LEGAL: Keep this in mind - YOU can sue!" Maybe in reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "urinary obstruction" Next in thread: Gordon Goldman: "Re: urinary obstruction" Reply: Gordon Goldman: "Re: urinary obstruction"

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