Posterior urethral valves presenting as abdominal distension and undifferentiated shock in a neonate: the role of screening emergency physician-directed bedside ultrasound

The Journal of Emergency Medicine
Barry GilmoreJay Pershad

Abstract

We present a case of shock in a 7-week-old neonate with obstructive uropathy secondary to posterior urethral valves (PUV). The antenatal ultrasound and the 2-week maintenance visit were unremarkable. A screening emergency physician directed bedside ultrasound (SEPUS) served to rapidly establish the diagnosis, initiate appropriate management, and facilitate early relief of urinary obstruction. We discuss the potential role of SEPUS in a critically ill neonate and briefly review the management of PUV.

References

Aug 1, 1982·The Journal of Pediatrics·R M Perkin, D L Levin
Dec 1, 1999·Pediatric Annals·D J Pennington, J M Zerin
Oct 11, 2001·Critical Care Medicine·S Tabbutt
Feb 20, 2003·Pediatric Emergency Care·Donna MilnerRobert Sicoli

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Citations

Feb 19, 2005·Current Urology Reports·Richard Schlussel
Aug 4, 2011·Pediatric Emergency Care·Mindy LongjohnJay Pershad
Mar 4, 2014·PloS One·Pauline M L HennusGeert J M G van der Heijden
Aug 7, 2013·Emergency Medicine Clinics of North America·Kimberly Leeson, Ben Leeson
May 3, 2014·Current Opinion in Pediatrics·Rachel A Gallagher, Jason A Levy
Apr 11, 2021·Pediatric Radiology·Elsa A van WassenaerRick R van Rijn

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