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A 36-year-old nulliparous female presented to the Emergency Department with a history of severe lower abdominal pain and an inability to pass urine for the last 8 hours. Abdominal examination revealed a tender palpable bladder midway between the pubic symphysis and umbilicus. The rest of the clinical assessment including medication history, gynecological examination, and neurological assessment was unremarkable. Serum electrolytes, urea, creatinine, and calcium were all within normal limits. A large distended bladder, as well as a pelvic mass, was visualized on point-of-care ultrasonography. An abdominal CT scan that was requested after insertion of a size 14 French urinary catheter reported the presence of a large posterior uterine wall mass (10,5 cm × 10,6 cm), anterior displacement of the urinary bladder, and mild (grade I) bilateral hydronephrosis/hydroureter. After being transferred to the gynecology ward, she later underwent a total abdominal hysterectomy where she was discharged with no residual urinary symptoms. Histology confirmed a uterine leiomyoma (fibroid) as the cause of the obstruction.

A 36-year-old nulliparous female presented to the Emergency Department with a history of severe lower abdominal pain and an inability to pass urine for the last 8 hours. Abdominal examination revealed a tender palpable bladder midway between the pubic symphysis and umbilicus. The rest of the clinical assessment including medication history, gynecological examination, and neurological assessment was unremarkable. Serum electrolytes, urea, creatinine, and calcium were all within normal limits. A large distended bladder, as well as a pelvic mass, was visualized on point-of-care ultrasonography. An abdominal CT scan that was requested after insertion of a size 14 French urinary catheter reported the presence of a large posterior uterine wall mass (10,5 cm × 10,6 cm), anterior displacement of the urinary bladder, and mild (grade I) bilateral hydronephrosis/hydroureter. After being transferred to the gynecology ward, she later underwent a total abdominal hysterectomy where she was discharged with no residual urinary symptoms. Histology confirmed a uterine leiomyoma (fibroid) as the cause of the obstruction.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A 36-year-old nulliparous female presented to the Emergency Department with a history of severe lower abdominal pain and an inability to pass urine for the last 8 hours. Abdominal examination revealed a tender palpable bladder midway between the pubic symphysis and umbilicus. The rest of the clinical assessment including medication history, gynecological examination, and neurological assessment was unremarkable. Serum electrolytes, urea, creatinine, and calcium were all within normal limits. A large distended bladder, as well as a pelvic mass, was visualized on point-of-care ultrasonography. An abdominal CT scan that was requested after insertion of a size 14 French urinary catheter reported the presence of a large posterior uterine wall mass (10,5 cm x 10,6 cm), anterior displacement of the urinary bladder, and mild (grade I) bilateral hydronephrosis/hydroureter. After being transferred to the gynecology ward, she later underwent a total abdominal hysterectomy where she was discharged with no residual urinary symptoms. Histology confirmed a uterine leiomyoma (fibroid) as the cause of the obstruction. Make an NCP with regard to the case scenario above
Transcribed Image Text:A 36-year-old nulliparous female presented to the Emergency Department with a history of severe lower abdominal pain and an inability to pass urine for the last 8 hours. Abdominal examination revealed a tender palpable bladder midway between the pubic symphysis and umbilicus. The rest of the clinical assessment including medication history, gynecological examination, and neurological assessment was unremarkable. Serum electrolytes, urea, creatinine, and calcium were all within normal limits. A large distended bladder, as well as a pelvic mass, was visualized on point-of-care ultrasonography. An abdominal CT scan that was requested after insertion of a size 14 French urinary catheter reported the presence of a large posterior uterine wall mass (10,5 cm x 10,6 cm), anterior displacement of the urinary bladder, and mild (grade I) bilateral hydronephrosis/hydroureter. After being transferred to the gynecology ward, she later underwent a total abdominal hysterectomy where she was discharged with no residual urinary symptoms. Histology confirmed a uterine leiomyoma (fibroid) as the cause of the obstruction. Make an NCP with regard to the case scenario above
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