Cloudy urine in trauma

[ERDoc]

Top sample all the way!

was flowing clear.... then suddenly, bam..... turned to photo #1

Chyluria FTW!

Edited November 10, 2013 by ERDoc

[Eydawn]

After doing some reading, it sounds like trauma can be a cause of chyluria if lymph vessels are transected/constricted or there's bladder trauma allowing entrance of lymphatic fluid... (unless my sleep deprived self is not understanding the anatomy at play here).

Doc, have you seen chyluria in a trauma scenario before? Because I'm going to take a large guess that this patient didn't have filariasis, unless that's more prevalent in the chilly north than I realize...

Wendy

CO EMT-B

RN-ADN

[ERDoc]

No, I have never seen it. There are very few cases in the literature also. Mobey, consider yourself lucky as you have seen something that many will never see (though you will probably never see it again).

[mobey]

Sweet!

Thanks for all your effort doc!!

[scubanurse]

Sometimes...hoofbeats are in fact zebras.

[tniuqs]

No, I have never seen it. There are very few cases in the literature also. Mobey, consider yourself lucky as you have seen something that many will never see (though you will probably never see it again).

ER Doc: could you define "lucky" to observe purulent urine .. Doc I think we have to talk LOL.

[ERDoc]

Lucky for him, from a sick and twisted provider kind of way. Not so lucky for the pt. Better?

[chbare]

Mobey, any chance of good follow up? Are you on good terms with the receiving facility? Something to strongly consider is writing this scenario up with your medical director and attempting to publish as a case study. Perhaps JEMS? This sounds like such a rate issue that even a case study would add something to the literature.

[paramedicmike]

I thought I saw a post from CHBARE about using this as a case study for publication. I agree and think that if you can get some good follow up it might be a good idea.