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SonoKids URO stones

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16 papers 0 to 25 followers
Brock Daniels, Cary P Gross, Annette Molinaro, Dinesh Singh, Seth Luty, Richelle Jessey, Christopher L Moore
STUDY OBJECTIVE: We determine whether renal point-of-care limited ultrasonography (PLUS) used in conjunction with the Sex, Timing, Origin, Nausea, Erythrocytes (STONE) clinical prediction score can aid identification of emergency department (ED) patients with uncomplicated ureteral stone or need for urologic intervention. METHODS: This was a prospective observational study of adult ED patients undergoing computed tomography (CT) scan for suspected ureteral stone...
April 2016: Annals of Emergency Medicine
Yan Song, Natalia Hernandez, Michael S Gee, Vicki E Noble, Brian H Eisner
INTRODUCTION: While computerized tomography (CT) is the gold standard for diagnosis of ureterolithiasis, ultrasound is a less costly and radiation-free alternative which is commonly used to evaluate patients with ureteral colic. The purpose of this study was to evaluate the frequency with which patients with ureteral stones and renal colic demonstrate hydronephrosis in order to better understand the evaluation of these patients. METHODS: Two hundred and forty-eight consecutive patients presenting with ureteral colic and diagnosed with a single unilateral ureteral stone on CT scan in an urban tertiary care emergency department were retrospectively reviewed...
September 2016: World Journal of Urology
Antonio Riera, Syed A Jamal Bokhari, Kirsten Bechtel
Urolithiasis in children is an underrecognized cause of pediatric abdominal pain. Our case describes a child who presented to the emergency department with right lower quadrant pain, in whom a point-of-care ultrasound detected an ureterovesicular stone, which obviated the need for any further radiographic studies. We review the current literature on pediatric urolithiasis with a focus on sonographic diagnosis.
April 2016: Pediatric Emergency Care
J Matthew Fields, Jonathan I Fischer, Kenton L Anderson, Alessandro Mangili, Nova L Panebianco, Anthony J Dean
STUDY OBJECTIVE: We sought to identify findings on bedside renal ultrasound that predicted need for hospitalization in patients with suspected nephrolithiasis. METHODS: A convenience sample of patients with suspected nephrolithiasis was prospectively enrolled and underwent bedside ultrasound of the kidneys and bladder to determine the presence and degree of hydronephrosis and ureteral jets. Sonologists were blinded to any other laboratory and imaging data. Patients were followed up at 30 days by phone call and review of medical records...
October 2015: American Journal of Emergency Medicine
Eleni Z Giannopoulou, Ludwig Gortner, Sylvia Peterlini, Sven Gottschling, Umut Yilmaz, Sascha Meyer
Nephrolithiasis is a less common side effect of the antiepileptic drug topiramate. We report the case of a 3-year-old boy who presented to the emergency department with abdominal pain; examinations revealed a large calcification in the left kidney. Regular ultrasound examinations are recommended in children using topiramate.
June 2015: Clinical Case Reports
Mark Taylor, Michael Y Woo, Paul Pageau, Matthew D F McInnes, James Watterson, Jesse Thompson, Jeffrey J Perry
CONTEXT: There are no clear indicators of which ultrasound findings in an emergency department (ED) renal colic population are predictive of urological surgical intervention. OBJECTIVE: To determine the sonographic findings of renal colic that predict surgical intervention. METHODS: We conducted a retrospective cohort study of 500 consecutive ED patients with a diagnosis of renal colic that had ultrasonography (performed by radiology) during their ED visit...
February 2016: Emergency Medicine Journal: EMJ
Carrie Ng, James W Tsung
BACKGROUND: Although renal colic in children in the United States remains relatively uncommon compared to in adults, its incidence has nearly doubled from 1999 to 2008. Noncontrast computed tomography (CT) is the current standard for the evaluation of suspected renal colic, given its high sensitivity and specificity. However, the greater lifetime risk of radiation-induced cancer from CT in pediatric patients has led to efforts to minimize radiation exposure. Additionally, pediatric renal colic is often recurrent, which might require multiple imaging studies during their lifetime...
August 2015: Journal of Emergency Medicine
Elizabeth M Schoenfeld, Kye E Poronsky, Tala R Elia, Gavin R Budhram, Jane L Garb, Timothy J Mader
INTRODUCTION: In the United States there is debate regarding the appropriate first test for new-onset renal colic, with non-contrast helical computed tomography (CT) receiving the highest ratings from both Agency for Healthcare Research and Quality and the American Urological Association. This is based not only on its accuracy for the diagnosis of renal colic, but also its ability to diagnose other surgical emergencies, which have been thought to occur in 10-15% of patients with suspected renal colic, based on previous studies...
March 2015: Western Journal of Emergency Medicine
Justin W Yan, Shelley L McLeod, Marcia L Edmonds, Robert J Sedran, Karl D Theakston
INTRODUCTION: Determining which patients with ureterolithiasis are likely to require urologic intervention is a common challenge in the emergency department (ED). The objective was to determine if normal renal sonogram could identify low-risk renal colic patients, who were defined as not requiring urologic intervention within 90 days of their initial ED visit and can be managed conservatively. METHODS: This was a prospective cohort study involving adult patients presenting to the EDs of a tertiary care centre with suspected renal colic over a 20-month period...
January 2015: CJEM
K Seitz
No abstract text is available yet for this article.
December 2014: Ultraschall in der Medizin
Justin B Ziemba, Douglas A Canning, Jane Lavelle, Angela Kalmus, Gregory E Tasian
PURPOSE: Professional associations recommend ultrasound as the initial imaging study in children with suspected nephrolithiasis but computerized tomography remains frequently used. We identified patient and institutional characteristics associated with computerized tomography as the first imaging study in children with nephrolithiasis diagnosed in the emergency department. MATERIALS AND METHODS: We performed a cross-sectional study of children 2 to 18 years old with nephrolithiasis who were referred to a freestanding pediatric hospital from 2003 to 2012...
May 2015: Journal of Urology
Gregory E Tasian, Jose E Pulido, Ron Keren, Andrew W Dick, Claude M Setodji, Jan M Hanley, Rodger Madison, Christopher S Saigal
OBJECTIVE: We sought to determine the prevalence of initial computed tomography (CT) utilization and to identify regions in the United States where CT is highly used as the first imaging study for children with nephrolithiasis. METHODS: We performed a cross-sectional study in 9228 commercially insured children aged 1 to 17 years with nephrolithiasis who underwent diagnostic imaging in the United States between 2003 and 2011. Data were obtained from MarketScan, a commercial insurance claims database of 17,827,229 children in all 50 states...
November 2014: Pediatrics
Rebecca Smith-Bindman, Chandra Aubin, John Bailitz, Rimon N Bengiamin, Carlos A Camargo, Jill Corbo, Anthony J Dean, Ruth B Goldstein, Richard T Griffey, Gregory D Jay, Tarina L Kang, Dana R Kriesel, O John Ma, Michael Mallin, William Manson, Joy Melnikow, Diana L Miglioretti, Sara K Miller, Lisa D Mills, James R Miner, Michelle Moghadassi, Vicki E Noble, Gregory M Press, Marshall L Stoller, Victoria E Valencia, Jessica Wang, Ralph C Wang, Steven R Cummings
BACKGROUND: There is a lack of consensus about whether the initial imaging method for patients with suspected nephrolithiasis should be computed tomography (CT) or ultrasonography. METHODS: In this multicenter, pragmatic, comparative effectiveness trial, we randomly assigned patients 18 to 76 years of age who presented to the emergency department with suspected nephrolithiasis to undergo initial diagnostic ultrasonography performed by an emergency physician (point-of-care ultrasonography), ultrasonography performed by a radiologist (radiology ultrasonography), or abdominal CT...
September 18, 2014: New England Journal of Medicine
Joaquín V Alonso, Pedro L Cachinero, Fran R Ubeda, Daniel J L Ruiz, Alfredo Blanco
BACKGROUND: Acute renal failure (ARF) due to obstructive uropathy is a urological emergency. The standard radiological investigations in the emergency setting include X-ray, ultrasonography and computed tomography. But occasionally the cause of obstruction may be elusive. METHODS: We present a case of obstructive uropathy due to bilateral stones presenting as acute renal failure. The patient underwent successful shock wave lithotripsy (SWL) for dissolution of calculi...
2014: World Journal of Emergency Medicine
Romain Guedj, Simon Escoda, Philippe Blakime, Géraldine Patteau, Francis Brunelle, Gérard Cheron
The objective of this study was to investigate the accuracy of renal point of care ultrasound (POCUS) for the detection of hydronephrosis in children with a urinary tract infection (UTI). We prospectively included all patients with a final diagnosis of UTI who visited our pediatric emergency department between November 2009 and April 2011. Emergency physicians were encouraged to perform a renal POCUS during these visits, and a follow-up renal ultrasonography was performed by a radiologist who was blinded to the results of POCUS...
April 2015: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
C Monet, E Richard, S Missonnier, L Rebouissoux, B Llanas, J Harambat
We report the case of a 3-year-old boy admitted to the pediatric emergency department for ethylene glycol poisoning. During hospitalization, he presented dysuria associated with crystalluria. Blood tests showed metabolic acidosis with an elevated anion gap. A renal ultrasound performed a few weeks later revealed bilateral medullary hyperechogenicity. Urine microscopic analysis showed the presence of weddellite crystals. Secondary nephrocalcinosis due to ethylene glycol intoxication was diagnosed. Hyperhydration and crystallization inhibition by magnesium citrate were initiated...
August 2013: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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