PRIAPISM
PRIAPISM: Excerpt from Algorithmic Diagnosis of Symptoms and Signs
Ask the Following Questions:
- Is there paraplegia or other neurologic signs? Neurologic findings would suggest spinal cord trauma, tumor or inflammation, multiple sclerosis, and several other disorders.
- Is there splenomegaly or lymphadenopathy? These findings would suggest leukemia and other blood dyscrasias.
- Is there African ancestry? This finding would suggest sickle cell anemia.
- Are there abnormalities on urologic examination? Urethral tumors, traumatic hematomas of the penis, thrombosis of the corpora cavernosa, and prostatism may cause priapism.
DIAGNOSTIC WORKUP
The basic workup includes a CBC, sedimentation rate, urinalysis, urine culture and colony count, sickle cell preparation, coagulation profile, chemistry panel, and serum protein electrophoresis. A urologist should also be consulted.
If there are neurologic signs, MRI of the brain or appropriate level of the spinal cord should probably be done. However, a neurologist should be consulted before ordering these expensive tests. A spinal tap will be helpful in diagnosing multiple sclerosis and central nervous system syphilis.
Book Source Details
- Book Title: Algorithmic Diagnosis of Symptoms and Signs
- Author(s): R. Douglas Collins
- Year of Publication: 2003
- Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.
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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.
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