Question

Refer to Chp 13 PROBLEM WITH URINATION SUBJECTIVE: The patient presented in the office today with complaints of a feeling of fullness in his pelvic area as well as oliguria for the past 3 days. He feels the need to urinate and “not much comes out.” He states that he also had some nocturnal enuresis off and on over the past week. He has a past history of pyelonephritis 1 year ago. OBJECTIVE: The patient is a 52-year-old underweight male in obvious discomfort. Examination of the abdomen and pelvis was notable for pain on palpation of the pelvic area over the bladder. Percussion of this area revealed a distended bladder. A digital rectal exam was performed and revealed no enlargement of the prostate. A urinalysis was ordered, but the patient was unable to void so in-and-out catheterization was performed and the bladder was drained. Urinalysis was performed on a sample of the urine and revealed dark color and a high SG. ASSESSMENT: What diagnosis could be causing the problem? PLAN: A stat KUB was ordered. I will call the patient as soon as I have the results of the KUB. Treatment will be determined based on the results of the x-ray. What is a KUB?

Answer 1

1. Diagnosis for the above given problem is urinary retention due to presence of Stone in urinary tract which causes hydronephrosis or hydroureter

2. KUB stands for kidney ureter bladder

KUB x-rays are done to check up the urinary tract and to check any blockage due to stone in urter or bladder which may cause the hydroureter or hydronephrosis

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