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SonoKids URO renal

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15 papers 0 to 25 followers
Maya S Iyer, Jennifer R Marin
We report an incidental diagnosis of crossed fused renal ectopia diagnosed in a patient initially evaluated with an educational point-of-care ultrasound (US). We review the US technique, sonographic findings, and the relevant literature regarding renal US.
January 2016: Pediatric Emergency Care
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
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
Jeanne S Chow, Kassa Darge
No abstract text is available yet for this article.
June 2015: Pediatric Radiology
Marko Tapani Ristola, Timo Hurme
OBJECTIVE: Urinary tract infections (UTIs) and vesicoureteral reflux (VUR) are assumed to predispose children to renal damage. Awareness of the significance of VUR and the possibility of reducing UTI recurrence and renal damage has warranted guidelines on which patients should undergo imaging after UTI. An authoritative guideline has been issued by the American Academy of Pediatrics (AAP). This study assessed the applicability of the AAP guidelines to a subpopulation of patients with UTI, 2-24-month-old children with febrile UTI...
2015: Scandinavian Journal of Urology
James Burhop, Joel M Clingenpeel, Michael P Poirier
Children with Dietl crisis often experience a delay in diagnosis, with the clinical entity being underdiagnosed. Pain is caused by compression of an aberrant artery crossing dilated kidney. Pain is often worsened after the consumption of liquids and resolves after fluid reabsorption. There are no clear criteria for evaluating ureter obstruction in childhood abdominal pain in the emergency department setting; however, it has been suggested that ultrasound may aid in the diagnosis. As renal parenchyma is typically preserved, and there is a paucity of associated urological complaints, once properly diagnosed, most patients are well served by a pyeloplasty...
June 2016: Pediatric Emergency Care
Yae-won Park, Myung-Joon Kim, Sang Won Han, Dong Wook Kim, Mi-Jung Lee
PURPOSE: To investigate the meaning of ureter dilatation during ultrasonography (US) in infants for evaluating vesicoureteral reflux (VUR). MATERIALS AND METHODS: We retrospectively reviewed abdominal US images of infants who were diagnosed with urinary tract infection (UTI group) or only hydronephrosis without UTI (control group). Hydronephrosis (graded 0-4) and ureter dilatation (present or absent) were evaluated on each side with US. Voiding cystourethrography (VCUG) within 3 months time interval with US was also reviewed and VUR was graded (0-5) on each side...
February 2015: European Journal of Radiology
Alpin D Malkan, Amos Loh, Armita Bahrami, Fariba Navid, Jamie Coleman, Daniel M Green, Andrew M Davidoff, John A Sandoval
Renal masses in children may be discovered during routine clinical examination or incidentally during the course of diagnostic or therapeutic procedures for other causes. Renal cancers are rare in the pediatric population and include a spectrum of pathologies that may challenge the clinician in choosing the optimal treatment. Correct identification of the lesion may be difficult, and the appropriate surgical procedure is paramount for lesions suspected to be malignant. The purpose of this article is to provide a comprehensive overview regarding the spectrum of renal tumors in the pediatric population, both benign and malignant, and their surgical management...
January 2015: Pediatrics
David W Swenson, Kassa Darge, Sonja I Ziniel, Jeanne S Chow
BACKGROUND: Radiologists commonly evaluate children first diagnosed with urinary tract dilation on prenatal ultrasound (US). OBJECTIVE: To establish how North American pediatric radiologists define and report findings of urinary tract dilation on US. MATERIALS AND METHODS: A web-based survey was sent to North American members of the Society for Pediatric Radiology (SPR) from January to February 2014. Reporting practices and interpretation of three image-based cases using free text were queried...
April 2015: Pediatric Radiology
Joan L Robinson, Jane C Finlay, Mia Eileen Lang, Robert Bortolussi
Recent studies have resulted in major changes in the management of urinary tract infections (UTIs) in children. The present statement focuses on the diagnosis and management of infants and children >2 months of age with an acute UTI and no known underlying urinary tract pathology or risk factors for a neurogenic bladder. UTI should be ruled out in preverbal children with unexplained fever and in older children with symptoms suggestive of UTI (dysuria, urinary frequency, hematuria, abdominal pain, back pain or new daytime incontinence)...
June 2014: Paediatrics & Child Health
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
Joan H Dunlop, Joanna S Cohen
We present the case of a 9-year-old female who presented after minor blunt abdominal trauma during a sporting event. On focused assessment with sonography for trauma, she was found to have an incidental renal mass, which was ultimately diagnosed as a renal cell carcinoma. In this report, we focus on the use of bedside ultrasound as a screening test and the management of incidental findings.
October 2014: Pediatric Emergency Care
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
Mariana Mouraz Lopes dos Santos, Sara Marques Soares Proença, Maria Inês Nunes Pereira de Almeida Reis, Rui Miguel Almeida Lopes Viana, Luísa Maria Bernardo Martins, João Manuel dos Reis Colaço, Filomena Maria Pinheiro Nunes
Renal angiomyolipoma is a benign tumor, composed of adipocytes, smooth muscle cells and blood vessels. The association with pregnancy is rare and related with an increased risk of complications, including rupture with massive retroperitoneal hemorrhage. The follow-up is controversial because of the lack of known cases, but the priorities are: timely diagnosis in urgent cases and a conservative treatment when possible. The mode of delivery is not consensual and should be individualized to each case. We report a case of a pregnant woman with 18 weeks of gestation admitted in the emergency room with an acute right low back pain with no other symptoms...
August 2014: Revista Brasileira de Ginecologia e Obstetrícia
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