Scenario
A 50 year old man presents to the emergency department with priapism for 4 hours.
Question
a. List the possible causes of priapism in this man (30%) b. Describe your management (70%)
Answer
FACEM SAQ Exam 2010.1 – Question 5
- The overall pass rate for this question was 36/70 (51.4%)
- Pass Criteria
- List causes (30%)
- High flow
- Low flow
- Intracavernosal injections
- Other drugs
- Hyperviscosity states
- Other: Trauma or Idiopathic, etc
- Describe management (70%)
- Supportive
- Specific
- Urological emergency
- After 4 hours increasing risk of ischaemic fibrosis and permanent impotence
- Specific causes
- Hyperviscosity states
- Trauma
- Other causes
- First aid
- Systemic
- Local
- Aspiration & intracavernosal injections
- If unsuccessful surgical shunt
- Disposition
- Features of unsuccessful answers
- No mention of time frame, danger of ischaemic priapism
- No mention of needle aspiration as treatment option
ACEM Fellowship Short Answer Questions (SAQ)
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