Bedside
Rounds

Case #153Urology

Inability to Pass Urine and Lower Abdominal Pain for 14 Hours

Inability to Pass Urine and Lower Abdominal Pain for 14 Hours
At a glance
HR 96 bpm BP 158/94 SpO2 97% Serum Creatinine: 2.4 mg/dL (Post-renal AKI)

"68M with inability to pass urine for 14h & suprapubic pain."

Patient History

A 68-year-old male Retired Bank Clerk presents with complete inability to pass urine for 14 hours and severe lower abdominal pain. He has a 5-month history of progressive LUTS and recently took OTC cold medication.

Clinical Examination & Labs

Physical exam reveals a distended, dull suprapubic mass and Grade III prostate enlargement on DRE.

Diagnostic Management Pathway

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