Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Priapism Management
Low-flow priapism is basically compartment syndrome of the penis—and it’s every bit the emergency that sounds like.
Start with a dorsal penile nerve block for comfort, then aspirate dark blood from the corpora at 10 and 2 o’clock until it brightens and detumescence follows. If that fails, irrigate and give phenylephrine in small, timed doses. The goal: relieve pressure early and save function later.