Genitourinary Emergencies in Older Adults

Genitourinary emergencies in older adults are explored, emphasizing the importance of thorough physical exams. Undressing patients, especially those with communication difficulties, can reveal critical conditions like cellulitis or gangrene, which are often missed. The discussion covers urinary incontinence, highlighting the "diapers" mnemonic (delirium, infection, atrophy, pharmacology, excessive urine output, restricted mobility, stool impaction, sacral nerve pathology) to aid diagnosis. Additionally, the podcast addresses urinary retention, noting the lack of a definitive post-void residual volume and advising spontaneous voiding trials. Danya Khoujah and Nicole Soria share insights on managing complicated UTIs, avoiding unnecessary antibiotic use, and considering pelvic organ prolapse in women with retention.