PMID: 8947794Nov 1, 1996Paper

Role of the plain radiograph and urinalysis in acute ureteric colic

Journal of Accident & Emergency Medicine
R Boyd, A J Gray

Abstract

(1) To determine the accuracy of accident and emergency (A&E) doctors' diagnosis of radio-opaque ureteric calculi on plain abdominal radiographs; (2) to study the predictive value of haematuria with a history suggestive of ureteric colic. A prospective study of all patients seen in a three month period with a provisional diagnosis of ureteric colic. Intravenous urography (IVU) was used as the gold standard for diagnosis of ureteric calculi. The accident and emergency department and medical unit of a large teaching hospital. 60 patients who were admitted with an initial diagnosis of ureteric colic, 51 subsequently undergoing intravenous urography. A&E doctors achieved a calculated sensitivity of 29% (95% confidence intervals 13% to 49%) and a specificity of 73% (52% to 90%) for identification of renal calculi on plain abdominal radiograph, compared with figures of 68% (48% to 84%) and 96% (78% to 100%) respectively for consultant radiologists. The difference between these results was highly significant (P = 0.0011). No patient with a definitive diagnosis of ureteric colic had a negative result for haematuria on urinary dipstick analysis. A&E doctors are poor at identifying radio-opaque ureteric calculi on plain abdominal radiogr...Continue Reading

References

Aug 1, 1991·Archives of Internal Medicine·A MutgiM Nettleman
Oct 27, 1990·BMJ : British Medical Journal·J A Webb
Nov 10, 1990·BMJ : British Medical Journal·J SpencerI Mastorakou
Sep 1, 1987·Irish Journal of Medical Science·P Freeland
Jan 1, 1985·The American Journal of Emergency Medicine·J C Abber, J W McAninch
Apr 1, 1985·Annals of Emergency Medicine·C S RothT H Berquist
Apr 1, 1982·Seminars in Roentgenology·J R Thornbury, T W Parker

❮ Previous
Next ❯

Citations

Oct 24, 2003·The American Journal of Emergency Medicine·Yair SafrielSalvatore J Sclafani
Aug 24, 1999·The Journal of Urology·P BoveR C Smith
Jul 11, 2006·The Urologic Clinics of North America·Sangtae Park, Margaret S Pearle
May 1, 1999·Seminars in Ultrasound, CT, and MR·R C SmithA T Rosenfield
Mar 5, 2008·Journal of Endourology·Rizk El-GalleyPeter N Kolettis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.