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Pulmonary and Critical Care Pearls |

An 87-Year-Old Man With Hypotension and Confusion After Cystoscopy*

Sachin Yende, MBBS; Richard Wunderink, MD, FCCP
Author and Funding Information

*From Methodist Lebonheur Healthcare, Physicians Research Network, Memphis, TN.

Correspondence to: Sachin Yende, MBBS, Physicians Research Network, Crews Wing, Suite 501, Methodist Lebonheur Healthcare, 1265 Union Ave, Memphis, TN 38104-3499



Chest. 1999;115(5):1449-1451. doi:10.1378/chest.115.5.1449
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An 87-year-old man was found unresponsive in his hospital bed the morning after undergoing bladder cystoscopy with glycine bladder irrigation for evaluation of hematuria. Clotted blood was observed in the bladder without a specific bleeding site. The patient was observed overnight and hydrated with IV 5% dextrose in 45% normal saline solution at 75 mL/h. His past history was significant for hypertension, nephrolithiasis, stage IIB prostate cancer status post radiation therapy, and coronary artery disease.

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