Ditch the Dipstick – for patients >65Yrs or Catheterised!
Approx. 50% of over 65’s and most of those with catheters have asymptomatic bacteriuria. The patient will not benefit from treatment and often gives us premature closure (i.e. we blame a fictitious UTI for the patients symptoms and stop thinking). Read more
A common problem which affects 1 in 10 men between 70-79yrs and 1 in 3 men 80-89yrs (10M:F)
- Unable to pass urine (may be passing small amounts overflow)
- Desire to pass urine (reduced in neurological causes e.g. cauda equine)
- Suprapubic & loin pain (may not be present in chronic or neurological causes)
- Palpable bladder on examination
For those who’s history and examination is consistent with Renal Stones and require CTKUB, for diagnosis.
Specific admission criteria
- History consistent with renal stone
- AAA excluded (over 50 years old)
- Not pregnant or within 3 months post partum
- Requires immediate CT (Others can be performed 08:00-21:00)
- Acute Kidney Injuryo Single Kidney