Urinary strictures
Bethanechol chloride (Urecholine) can be harmful to patients who have a urinary tract obstruction or bladder wall weakness. The medication has the ability to contract the bladder, causing pressure to build up in the urinary tract. In these patients, an increase in urinary tract pressure could cause the bladder to rupture.
What is Urinary retention?
- The inability to completely empty the bladder is referred to as urinary retention. The onset can be abrupt or gradual.
- Symptoms of sudden onset include inability to urinate and lower abdominal pain.
- When symptoms appear gradually, they may include loss of bladder control, mild lower abdominal pain, and a weak urine stream.
- If there is an obstruction or stricture (narrowing) in or around the bladder, or if the muscles in or around the bladder are weak, urine may be retained. Urinary retention can also be caused by certain types and locations of tumors, certain medications, being dehydrated, or having constipation.
To learn more about urinary retention from the given link
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Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
Answer:
Aquifer depletion, deforestation, mining for fossil fuels and minerals, pollution or contamination of resources, slash-and-burn agricultural practices, Soil erosion, and overconsumption, excessive or unnecessary use of resources.
Explanation:
