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Date Completed: 03/04/2023
Page 1 of 6
- Urology
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Renal Calculi: Investigations
A 46 year old woman presents to the Emergency Department with a 5 hour history of left sided abdominal pain. She describes it as "coming in
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Epididymo-Orchitis: Microbiology
A 25 year old man presents to the Emergency Department with a 1 day history of scrotal pain and dysuria. On examination you find his left he
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Testicular Torsion: Risk Factors
A 19 year old man presents to the Emergency Department with a 2 hour history of atraumatic left testicular pain. On examination the left tes
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Acute Prostatitis: Management
A 59 year old man presents to the Emergency Department with a 2 day history of fever, dysuria and hesitancy. On examination you note a soft,
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Epididymo-Orchitis: Microbiology
A 21 year old man presents to the Emergency Department complaining of painful testicles for the last 24 hours. He is normally fit and well b
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Epididymo-Orchitis: Diagnosis
A 25 year old man presents to the Emergency Department with a 1 day history of scrotal pain and dysuria. He describes a gradual onset over t
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Paraphimosis: Management
A 45 year old man presents to the Emergency Department with a 5 hour history of penile pain and swelling. On examination you note a paraphim
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Priapism: Management
A 34 year old man presents to the Emergency Department with a 6 hour history of a continuous, painful erection following intercourse with hi
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Acute Urinary Retention
A 65 year old man presents to ED complaining that he has been unable to pass urine for the past 10 hours and is now in significant discomfor
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Testicular Torsion: Diagnosis
A 19 year old man presents to the Emergency Department with a 2 hour history of atraumatic left testicular pain. He describes a sudden onset
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Urethritis: Diagnosis
A 23 year old man presents to the Emergency Department complaining of penile irritation, dysuria and urethral discharge. On questioning he t
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Lower Urinary Tract Infection: Diagnosis
A 23 year old woman presents to the Emergency Department with a 2 day history of dysuria and increased frequency. On examination she has a s
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Epididymo-Orchitis: Management
A 67 year old man presents to the Emergency Department complaining of pain in his scrotum. He has no significant past medical history. On ex
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Fournier’s Gangrene: Diagnosis
A 76 year old man presents to the Emergency Department complaining of scrotal pain over the last 12 hours. He has a past medical history of
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Renal Calculi: Pathophysiology
A 54 year old man presents to the Emergency Department with a 24 hour history of right loin to groin pain. Urine dipstick shows microscopic
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Pyelonephritis: Microbiology
A 23 year old woman is brought to the Emergency Department by ambulance. She has a 3 day history of fever, flank pain and dysuria. On examin
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Lower Urinary Tract Infection: Management
A 23 year old woman presents to the Emergency Department with a 2 day history of dysuria. She reports increased frequency. On examination sh
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Scrotal Pain and Swelling: Testicular Tumour
A 32 year old man presents to the Emergency Department after noticing a swelling to the left testis 3 days earlier. He denies trauma or pain
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Testicular Torsion: Diagnosis
A 16 year old boy presents to ED complaining of pain and swelling in his left testicle. The pain started suddenly about 3 hours ago. On exam
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Renal Calculi: Management
A 49 year old woman presents to the Emergency Department with a 5 hour history of right sided abdominal pain radiating to the right groin. S
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Fournier’s Gangrene: Management
A 67 year old man presents to the Emergency Department with a 1 day history of scrotal and perineal pain. On examination you note extensive
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Acute Urinary Retention: Complications
A 76 year old man presents to the Emergency Department with a 12 hour history of inability to void his bladder. A bladder scan shows a volum
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Acute Urinary Retention: Pathophysiology
A 78 year old man presents to the Emergency Department after being unable to pass urine for 12 hours. He describes increasing lower urinary
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Renal Calculi: Management
A 39 year old man presents to the Emergency Department with a 5 hour history of left sided abdominal pain. He describes it as "coming in wav
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Pyelonephritis: Management
A 24 year old woman presents to the Emergency Department with a 2 day history of dysuria and flank pain. She has no significant past medical
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Testicular Torsion: Clinical Features
A 21 year old man presents to the Emergency Department with a 6 hour history of left testicular pain. He describes a sudden onset of pain wh
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Scrotal Pain and Swelling: Varicocele
A 45 year old man presents to the Emergency Department with a 2 day history of left sided scrotal swelling and a "dragging" feeling. On exam
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Paediatric Urinary Tract Infection: Microbiology
A 3 year old girl is brought to the Emergency Department by her father. He describes her being "off colour" for 3 days. She has a reduced ap
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Scrotal Pain and Swelling: Hydrocele
A 34 year old man presents to the Emergency Department with a 2 day history of scrotal swelling. He denies trauma or pain. On examination yo
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Testicular Torsion: Risk Factors
A 12 year old boy is brought to ED by his dad complaining of left sided testicular pain which came on suddenly this morning. He describes a
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Epididymo-Orchitis: Management
A 25 year old man presents to the Emergency Department with a 3 day history of a painful testicle and penile discharge. He returned from a h
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Acute Urinary Retention: Management
A 71 year old man presents to the Emergency Department with a 6 hour history of inability to void his bladder. He tells you he has experienc
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Epididymo-Orchitis: Clinical Features
A 45 year old man presents with a 3 day history of left testicular pain and swelling. On examination you note scrotal erythema and the left
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Acute Urinary Retention: Management
A 76 year old man presents to the Emergency Department with a 12 hour history of being unable to void his bladder. An ultrasound bladder sca
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Renal Calculi: Investigations
A 45 year old man presents to the Emergency Department with a 5 hour history of left sided abdominal pain. He describes it as "coming in wav
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Renal Calculi: Management
A 56 year old man, with a history of renal calculi, presents to ED with sudden onset pain in his left flank which has been occuring in spasm
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Acute Urinary Retention: Management
You have been asked to give a teaching session on urological emergencies to a group of new Emergency Department doctors, this will be their
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Scrotal Pain and Swelling: Testicular Tumour
A 32 year old man presents to the Emergency Department after noticing a swelling to the left testis 3 days earlier. He denies trauma or pain
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Acute Prostatitis: Diagnosis
A 69 year old man presents to the Emergency Department complaining of 3 days of dysuria. He tells you that over the last day he has had a ve
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Acute Urinary Retention: Diagnosis
A 84 year old care home resident is brought into the Emergency Department by his carers. They report 48 hours of increased confusion and agi
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Pyelonephritis: Management
A 23 year old woman presents to the Emergency Department with a 3 day history of dysuria, flank pain and fever. Her observations are: H
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Renal Calculi: Diagnosis
A 32 year old man presents to the Emergency Department with a 12 hour history of right sided abdominal pain. A full blood count, renal funct
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Acute Urinary Retention: Management
A 79 year old man presents to the Emergency Department with a 6 hour history of inability to void his bladder. He also complains that he has
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Acute Prostatitis: Diagnosis
A 42 year old man presents to ED complaining of dysuria and urgency associated with fever for the past 3 weeks. He has no past medical histo
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Epididymo-Orchitis: Microbiology
A 64 year old man presents to the Emergency Department with a 3 day history of scrotal pain and fever. On examination you find a normal appe
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Priapism: Management
A 21 year old man presents to ED with a sustained erection ongoing now for about 4 hours. He is in significant pain. He explains that he has
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Testicular Torsion: Management
A 21 year old man presents to the Emergency Department with a 6 hour history of left testicular pain. He describes a sudden onset of pain wh
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Paraphimosis: Management
A 23 year old man presents to the Emergency Department (ED) with a 2 day history of swelling and pain of his glans. He tells you this occure
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Renal Calculi: Diagnosis
A 45 year old woman presents with a 6 hour history of right sided abdominal pain. She describes the pain as "sharp, stabbing" that occurs in
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Pyelonephritis: Diagnosis
A 34 year old woman presents to the Emergency Department with a 3 day history of dysuria and loin pain. She has no significant past medical
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Paediatric Urinary Tract Infection: Management
The parents of a 2 month old girl bring her to the Emergency Department as they are concerned about a fever. They describe her as being "irr
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Lower Urinary Tract Infection: Management
A 65 year old man presents to the Emergency Department with a 2 day history of increased urinary frequency and dysuria. He has no significan
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Paediatric Urinary Tract Infection: Diagnosis
A 3 year old girl is brought to the Emergency Department by her father. He describes her being "off colour" for 3 days. She has a reduced ap
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Priapism: Causes
A 54 year old man presents to ED with priapism which has been ongoing for 2 hours. He is on a number of regular medications prescribed by hi
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Acute Urinary Retention: Diagnosis
A 69 year old man is brought to the Emergency Department by a member of care staff from his care home. The carer explains that over the day
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Haematuria: Management
A 55 year old man presents to the Emergency Department complaining of visible haematuria for the last 2 weeks. He is otherwise well, with no
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Acute Urinary Retention: Management
A 59 year old man presents to the Emergency Department complaining of suprapubic pain. He last passed urine 12 hours ago. Which of the follo
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Renal Calculi: Pathophysiology
A 56 year old man presents to the Emergency Department with a 2 hour history of right flank pain. His urine dipstick is positive for blood,
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Acute Prostatitis: Microbiology
A 65 year old man presents to the Emergency Department complaining of urgency and dysuria. On examination you note his prostate feels swolle
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