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* Two Types of Priapism

* Low Flow “Ischemic” (Most Common >95% of Cases)

* Urologic Emergency

* Results in Erectile Dysfunction

* Painful

* Common Etiologies

* Idiopathic

* Erectile Dysfunction Drugs (ex. sildenafil)

* Sickle Cell Disease

* Trazodone (“TrazoBONE”)

* Cocaine/Meth

* High Flow

* Caused by Trauma and AV Fistulas

* Management

* Analgesia

* Dorsal Penile Nerve Block

* Aspiration

* Can intermittently irrigate with normal saline to dilute the clot

* Injection

* Phenylepherine

* Recommend cardiac monitor

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You are working at Clerkship General on an overnight shift when the next chart is handed to you. It’s a 35 year old male with a chief complaint of groin pain. Initial Vitals: BP: 150/90 HR: 107 RR: 20 O2: 99% (Room Air) Temp: 98.0F Critical Actions: