Urinary Retention practice

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Geriatrics and Palliative Carecommon

An 84-year-old inpatient becomes agitated and inattentive over 12 hours. He repeatedly tries to pass urine, reports lower abdominal discomfort and has a palpable tender suprapubic mass. His temperature is 37.1°C, and he has no flank pain or dysuria. Which investigation should be performed first?