Urology versus Internal Medicine Admissions

1. Simple cases of nephrostomy tube displacement that need reinsertion

   1. For blocked tube without fever: Keep in ER

   2. For blocked tube with fever: Admit to Medicine
      
      

2. Obstructive uropathy due to renal calculi (infected or uninfected)

   1. For obstructive uropathy with fever: Admit to Urology

   2. For obstructive uropathy, with active medical illness, appropriate for floor: Admit to Urology with medicine co-management

   3. For obstructive uropathies needing ICU/ICR: Admit to Medicine ICU/ICR
      
      

3. Gross hematuria

   1. Due to urologic pathology: Admit to Urology

   2. Due to medical coagulopathy: Admit to Medicine

   3. Due to urologic pathology on anticoagulation with stable Hematocrit (×2) & hemodynamics: Admit to Urology
      
      

4. Testicular/scrotal pathology, i.e. torsion

   1. If negative sonogram & UA: Medicine speaks with ED about potentially unnecessary admit
      
      

5. Pain or complication related to a urologic condition/procedure

   1. Resolution for intractable pain due to prior urologic procedure: case by case