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General discussion I Detailed dicussion



 General discussion
(A patient who is conscious but immobilized)
(A patient who is unconscious but able to urinate)

  Immobilization
 
Spinal cord injury
-Paraplesia
-Quadriplesia
-Hemiplesia related to stroke
-Motor weakness due to myopathy or neuropathy

Sever pain
-Originated from low back or pelvic area
-Chronic ds


  Absolute bed rest
 
Cardiovascular ds
-Acute MI
-Cardiomyopathy
-Valvular heart ds

Emergent problems of CNS
-Subaracnoid hemorrhage
-Intracranial hemorrhage

Sever trauma/
-Preoperative or postoperative state


  Degenerative ds
 
Parkinson¡¯s ds
Alzheimer¡¯s ds

  Limited activities of daily living
 
Traffic accident.
Fracture.
Full term pregnancy.
Coma
Low activity caused by underlying ds
Terminal cancer
Severe cerebral palsy
Pulmonary ds( COPD, emphysema, Lung CA )

  And so on
 


Training period of urination after Foley removed
Febrile patients caused by indwelling catheter
During rehabilitation
Frequent voiding (nocturia)





Detailed discussion

  Internal medicine
 
- Early stage of sepsis (Just before non-self voiding)
- Pulmonary edema
- Myocardiac infarction
- Hepatoencephaopathy
- Unstable vital sign
- Active varix bleeding
- Etc.

  General surgery
 
- Spleen rupture
- Hemoperitonium
- Major burn
- Massive transfusion
- Kidney transplantation

  Obstetric & gynecologic department
 
- Incontinence
- Eclampsia
- Ectopic pregnancy
- Ovarian torsion
- Threatended abortion
- Placental abruption

  Neurosurgery
 
- Cerebral infaction
- C-spine fracture
- Intracerebral hemorrhage
- Aneurysm rupture
- Subarachnoid hemorrhage
- CNS infection (bacterial meningitis )
- Spinal shock

  Orthostatic surgery
 
- Femur neck fracture
- L-spine fracture
- Pelvis fracture
- Multifracture

 

 

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서울시 성북구 안암동 5가 126-83 인촌로 제2빌딩 [우편 : 136-075] Korea

TEL : (02) 924-3445∼7 / FAX : (02) 924-0780