Abstract
Ketamine associated urinary dysfunction has become increasingly more common worldwide. Point-of-care ultrasound (POCUS) is an established modality for diagnosing hydronephrosis in the emergency department. We describe a case of a young male ketamine abuser with severe urinary urgency and frequency in which POCUS performed by the emergency physician demonstrated bilateral hydronephrosis and a focally thickened irregular shaped bladder. Emergency physicians should consider using POCUS evaluate for hydronephrosis and bladder changes in ketamine abusers with lower urinary tract symptoms. The mainstay of treatment is discontinuing ketamine abuse.
Highlights
Ketamine induced urinary dysfunction (KAUD) is a syndrome first described in the literature in 2007
We describe a case of a young male ketamine abuser with severe urinary urgency and frequency in which Point-of-care ultrasound (POCUS) performed by the emergency physician demonstrated bilateral hydronephrosis and a focally thickened irregular shaped bladder
We describe a case of a young man with a history of heavy ketamine abuse who presented to the emergency department (ED) with lower urinary tract irritation and flank pain
Summary
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Title Bilateral Hydronephrosis and Cystitis Resulting from Chronic Ketamine Abuse Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 15(4)
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