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Priapism

  • Ddx

    • sickle cell
    • spinal cord lesion or trauma, MS
    • penile trauma
  • Treatment

    • terbutaline 0.25-0.5 mg SQ in deltoid, repeat in 20 min if needed
    • if present within 4 hours: pseudoephedrine 60-120 mg PO
    • if sickle cell: exchange transfusion
    • if refractory: urology consult re corporal aspiration and irrigation
    • neuro consult if spinal cord lesion

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