When I was on my clerkship, a few of my classmates had patients present to the emergency department with priapism. It’s not common. But even if you don’t get a case during your clerkship, you will certainly see one during residency. There are two types of priapism: ischemic and non-ischemic. Ischemic is the type we will focus on this week. It is the most common type and, unfortunately, the most dangerous type. But don’t be scared, it’s not that hard. Just remember your anatomy, and follow the 5 basic steps.