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Author Goertz, Jacob K. ♦ Lotterman, Seth
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Social sciences ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Male Urogenital Diseases ♦ Diseases ♦ Diagnosis ♦ Therapeutics ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Health Occupations ♦ Physical Sciences ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Care
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Hydronephrosis ♦ Etiology ♦ Severity Of Illness Index ♦ Ureterolithiasis ♦ Complications ♦ Adolescent ♦ Adult ♦ Aged ♦ Aged, 80 And Over ♦ Chi-square Distribution ♦ Emergency Medicine ♦ Emergency Service, Hospital ♦ Emergency Treatment ♦ Female ♦ Humans ♦ Classification ♦ Male ♦ Middle Aged ♦ Observer Variation ♦ Predictive Value Of Tests ♦ Retrospective Studies ♦ Risk Factors ♦ Sensitivity And Specificity ♦ Tomography, X-ray Computed ♦ Ultrasonography ♦ Journal Article
Abstract OBJECTIVE: The aim of the study was to determine if the degree of hydronephrosis on focused emergency renal ultrasound correlates with kidney stone size on computed tomography. METHODS: A retrospective study was performed on all adult patients in the emergency department who had a focused emergency renal ultrasound and ureterolithiasis on noncontrast computed tomography. Severity of hydronephrosis was determined by the performing physician. Ureteral stone size was grouped into 5 mm or less and larger than 5 mm based on likelihood of spontaneous passage. RESULTS: One hundred seventy-seven ultrasound scans were performed on patients with ureteral calculi. When dichotomized using test characteristic analysis, patients with none or mild hydronephrosis (72.9%) were less likely to have ureteral calculi larger than 5 mm than those with moderate or severe hydronephrosis (12.4% vs 35.4%; P < .001) with a negative predictive value of 0.876 (95% confidence interval, 0.803-0.925). CONCLUSION: Patients with less severe hydronephrosis were less likely to have larger ureteral calculi.
Description Country affiliation: United States
Author Affiliation: Goertz JK ( Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, NY 11040, USA. JGoertz@nshs.edu)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2010-09-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 28
Issue Number 7


Source: WHO-Global Index Medicus