Question
A 27 years male patient reported in an emergency with the condition as represented in the picture below since last 6 hours, the drug of choice in this case will be?
| A. |
Acetazolamide.
|
| B. |
Propranolol.
|
| C. |
Sildenafil citrate.
|
| D. |
Phenyephrine
|
Show Answer
|
Correct Answer � D
Explanation
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|
Ans:D.)Phenyephrine.
The patient is suffering from Priapism.
Priapism
- It is an involuntary, prolonged erection unrelated to sexual stimulation and unrelieved by ejaculation.
- This condition is a true urologic emergency, and early intervention allows the best chance for functional recovery.
- Patients with priapism report a persistent erection.
- Accompanying symptoms depend on the type of priapism and the duration of engorgement.
- Low-flow, ischemic-type priapism is generally painful, although the pain may disappear with prolonged priapism.
- High-flow, nonischemic priapism is generally not painful.
- Appropriate treatment of priapism varies, depending on whether the patient has low-flow or high-flow priapism.
- Low-flow priapism:Treatment should progress in a stepwise fashion, starting with therapeutic aspiration, with or without irrigation, or intracavernous injection of a sympathomimetic agent
- Intracavernosal phenylephrine is the drug of choice and first-line treatment of low-flow priapism because the drug has almost pure alpha-agonist effects and minimal beta activity.
- High-flow priapism:Acutely, observation alone may be sufficient because many cases resolve spontaneously, and even with prolonged priapism these patients are unlikely to experience significant pathological damage or impaired erectile function
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