PRIAPISM

Ask the Following Questions:

1. Is there paraplegia or other neurologic signs? Neurologic findings would suggest spinal cord trauma, tumor or inflammation, multiple sclerosis, and several other disorders.
2. Is there splenomegaly or lymphadenopathy? These findings would suggest leukemia and other blood dyscrasias.
3. Is there African ancestry? This finding would suggest sickle cell anemia.
4. 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 Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.

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More About This Book: Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9

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