Penis Injury and Hematuria in a Man Who Fell on a Log

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Penis Injury and Hematuria in a Man Who Fell on a Log

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D. Brady Pregerson, MD

March 19, 01

itor’s Note:
The Ce Challenge series includes difficulttodiagnose conditions, some of which are not frequently encounter by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a ce you would like to suggest for a future Ce Challenge, plee contact us.

A 48yearold man presents to the emergency department () after an incident in which he tripp while working in the b of his pickup truck and fell forward onto a log. He suffer a direct blow to his perineum and penis, which initially result in intense pain that lt for approximately 510 minutes. The pain subsequently subsid, and he continu his activity without discomfort; however, when he attempt to urinate after his work w complete, the patient experienc severe, burning pain in his penis and not a large amount of hematuria. His symptoms persist with each episode of urination over the next few s, leading him to seek evaluation in the .

Upon presentation, the patient reports no pain while at rest. He denies any to his flank or abdomen a result of the fall. He does not have any abdominal pain, nausea or vomiting, difficulty or pain while walking, or scrotal or bruising. He h no significant mical history and does not take any mications.

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Any views express above are the author’s own and do not necessarily reflect the views of WebMD or Mscape.

Cite this: D. Brady Pregerson. Penis Injury and Hematuria in a Man Who Fell on a Log – Mscape – Mar 19, 01.

Department of Emergency Micine, CarsSinai Mical Center, Los Angeles, California; Department of Emergency Micine, TriCity Mical Center, Oceanside, California

Disclosure. D. Brady Pregerson, MD, h disclos no relevant financial relationships.

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Penis Injury and Hematuria in a Man Who Fell on a Log


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Happiness is for those who plan well and pursue. A profound among us have been proven those who have true dream to live for likely REALIZED IT. It is just simply the person working toward the DREAM days and night until accomplishment. There is a phrase of efficiency a head of you. Steps and obstacles at first seem tremendous. However, just with some times those difficult steps and challenges are so easy performance for you. There are also plenty of tools including VISUALIZATIONS and helps are around you.

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