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Renal colic

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https://www.readbyqxmd.com/read/27885297/mimicker-of-renal-colic-mesenteric-panniculitis
#1
A Canan
A Mesenteric panniculitis is an uncommon disorder with unknown etiology. It may cause nonspesific abdominal or systemic symptoms. Radiological modalitis especially computed tomography are very helpful to make a diagnosis. Hence, the radiologist should be familiar with its tomographic findings to avoid further examinations and unnecessary surgery. We report computed tomography findings of mesenteric panniculitis in an adult patient with renal colic.
May 2016: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/27878116/minijfil%C3%A2-a-new-safe-and-effective-stent-for-well-tolerated-repeated-extracorporeal-shockwave-lithotripsy-or-ureteroscopy-for-medium-to-large-kidney-stones
#2
Benoit Vogt, Francois-Noel Desfemmes, Arnaud Desgrippes, Yves Ponsot
BACKGROUND: Percutaneous nephrolithotomy (PCNL) is recommended for treating staghorn stones or stones measuring > 20 mm. Extracorporeal shockwave lithotripsy (ESWL) or flexible ureteroscopy (URS) may be used as a complement. However, PCNL can cause trauma to the kidney parenchyma, and patients may find a noninvasive procedure, such as ESWL, to be more attractive. OBJECTIVES: The aim of this study was to evaluate the clinical efficiency of MiniJFil® stenting associated with ESWL or second-line URS for the treatment of medium-to-large kidney stones...
September 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27868102/case-report-of-percutaneous-tract-seeding-of-renal-pelvic-tumor-8-year-journey
#3
Paulos Yohannes
A 58-year-old female presented with renal colic and was found to have renal transitional cell carcinoma at the time of percutaneous surgery. She developed percutaneous tract seeding that clinically presented as subcutaneous skin nodules. After local treatment with surgical excision and radiation treatment, the patient developed retroperitoneal recurrence 5 years later. Percutaneous tract seeding is rare. There is no general consensus on prevention of tract seeding during percutaneous resection of renal urothelial tumors...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27868091/aftermath-of-grade-3-ureteral-injury-from-passage-of-a-ureteral-access-sheath-disaster-or-deliverance
#4
Roshan M Patel, Zhamshid Okhunov, Kamaljot Kaler, Ralph V Clayman
Background: The ureteral access sheath (UAS) has revolutionized the management of urinary pathology in the upper tract by providing rapid repeatable access to the upper urinary tract. However, in many practices, it remains a controversial tool in endourology given concerns of possible ureteral injury and presumed long-term sequela from those injuries. This case suggests that these concerns may be more hypothetical than real. Case Presentation: A 32-year-old female with a history of recurrent nephrolithiasis presented with left-sided symptomatic renal colic...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27856357/clinical-effectiveness-in-the-diagnosis-and-acute-management-of-pediatric-nephrolithiasis
#5
REVIEW
Jason P Van Batavia, Gregory E Tasian
The incidence of pediatric nephrolithiasis has risen over the past few decades leading to a growing public health burden. Children and adolescents represent a unique patient population secondary to their higher risks from radiation exposure as compared to adults, high risk of recurrence, and longer follow up time given their longer life expectancies. Ultrasound imaging is the first-line modality for diagnosing suspected nephrolithiasis in children. Although data is limited, the best evidence based medicine supports the use of alpha-blockers as first-line MET in children, especially when stones are small and in a more distal ureteral location...
November 14, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27837415/evaluation-of-the-efficacy-of-sexual-intercourse-in-expulsion-of-distal-ureteric-stones
#6
Mohammad Sayed Abdel-Kader
OBJECTIVE: To evaluate the efficacy of sexual intercourse in expulsion of distal ureteric stones. PATIENTS AND METHODS: The study included 56 patients with distal ureteric or intramural stone. The stones size ranged from 5 to 10 mm and were detected by US, plain X-ray film, and non-enhanced CT. The patients were divided randomly into group A included 28 patients who were advised to do sexual intercourse 3-4 times/week with administration of symptomatic treatment, and group B included 28 patients receiving symptomatic treatment only (control group) and were instructed not to do sexual intercourse or masturbation during the study...
November 11, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27826565/epidemiology-and-outcomes-of-acute-abdominal-pain-in-a-large-urban-emergency-department-retrospective-analysis-of-5-340-cases
#7
Gianfranco Cervellin, Riccardo Mora, Andrea Ticinesi, Tiziana Meschi, Ivan Comelli, Fausto Catena, Giuseppe Lippi
BACKGROUND: Acute abdominal pain (AAP) accounts for 7-10% of all Emergency Department (ED) visits. Nevertheless, the epidemiology of AAP in the ED is scarcely known. The aim of this study was to investigate the epidemiology and the outcomes of AAP in an adult population admitted to an urban ED. METHODS: We made a retrospective analysis of all records of ED visits for AAP during the year 2014. All the patients with repeated ED admissions for AAP within 5 and 30 days were scrutinized...
October 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27811161/seventy-six-year-old-woman-with-an-unusual-anatomy-of-the-left-ureter
#8
George A Demetriou, Sohan Perera, Constantine Halkias, Shwan Ahmed
We present a case of a 76-year-old woman, who attended with features suggestive of renal colic; however on imaging, she was found to have a right pelvic kidney and a left-sided uretero-sciatic hernia (USH), identified on CT urography (CT urogram). She was managed conservatively as she had a normal renal function and reported no symptoms in follow-up appointments. USH are rare hernias, where the ureter herniates through the sciatic foramen. Patients might present with sepsis in which case they require emergency stenting either anterograde or retrograde or with pain in which a less urgent approach can be followed and plan for surgery...
November 3, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27810168/ultra-low-dose-low-dose-and-standard-dose-ct-of-the-kidney-ureters-and-bladder-is-there-a-difference-results-from-a-systematic-review-of-the-literature
#9
REVIEW
S Rob, T Bryant, I Wilson, B K Somani
AIM: To investigate whether reducing the radiation dose of computed tomography (CT) of the kidney, ureters, and bladder (KUB) for acute renal colic impacts upon the specificity, sensitivity, and detection of urolithiasis. MATERIALS AND METHODS: A systematic review of the literature over a 20-year period between 1995 and 2015 was conducted of all prospective studies in the English language reporting on adult patients who underwent CT KUB or non-contrast CT for renal colic or urolithiasis...
October 31, 2016: Clinical Radiology
https://www.readbyqxmd.com/read/27800541/intravenous-morphine-vs-intravenous-ketofol-for-treating-renal-colic-a-randomized-controlled-trial
#10
Gholamreza Faridaalaee, Neda Mohammadi, Seyedeh Zahra Merghati, Fatemeh Keyghobadi Khajeh, Bahman Naghipour, Mahboob Pouraghaei, Sajjad Ahmadi
INTRODUCTION: The main purpose of emergency department (ED) management for renal colic is prompt pain relief. The present study aimed to compare the analgesic effects of intravenus (IV) ketofol with morphine in management of ketorolac persistent renal colic. METHODS: This study is a single blind randomized, clinical trial, on patients who were presented to ED with renal colic, whose pain was resistant to 30 mg IV ketorolac. The patients were randomly assigned to either IV morphine (0...
November 2016: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/27790518/adult-idiopathic-renal-vein-thrombosis-mimicking-acute-pyelonephritis
#11
Arpan Choudhary, Prasenjit Majee, Rupesh Gupta, Supriyo Basu, Ranjit Kumar Das
Renal Vein Thrombosis (RVT) is a rarely encountered condition. It occurs due to a hypercoagulable state in the body, caused by nephrotic syndrome and membranous nephropathy in the adults. Mode of presentation is variable. In chronic form, it may remain silent for a long time and presenting later with symptoms of pedal oedema, varicocele, proteinuria. In acute state, it manifests as flank pain, nausea or haematuria. We present a case of 25-year-old male, with left sided flank pain, haematuria and nausea for 4 days...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27787615/neutrophil-gelatinase-associated-lipocalin-ngal-value-changes-before-and-after-shock-wave-lithotripsy
#12
Matteo Vittori, Silvia Baroni, Pietro Manuel Ferraro, Giovanni Gambaro, Renato Morelli, PierFrancesco Bassi, Alessandro D'Addessi
Our aim was to determine short and medium-term changes of neutrophil gelatinase-associated lipocalin (NGAL) in the urine of patients undergoing shock wave lithotripsy (SWL). In patients with kidney stones, serum urea and creatinine (Cr), urine Cr and NGAL levels were determined immediately before and at 3, 24 h and 30 days after SWL. Urine NGAL concentrations were normalized to urinary Cr ruling out the confounding effect of variable hydration states. Thirty-five patients with a single renal stone were enrolled...
October 27, 2016: Urolithiasis
https://www.readbyqxmd.com/read/27779484/intravenous-acetaminophen-for-renal-colic-in-the-emergency-department-where-do-we-stand
#13
Billy Sin, Kimberly Koop, Michelle Liu, Jun-Yen Yeh, Pardeep Thandi
BACKGROUND: The efficacy, safety, opioid-sparing effects, and cost-benefit analyses of intravenous (IV) acetaminophen (APAP) in treating renal colic remain controversial. STUDY QUESTION: To evaluate the safety, efficacy, opioid-sparing effects, and cost-benefits of IV APAP in patients who present with renal colic in the emergency department (ED). DATA SOURCES: We systematically searched PubMed (January 1970 to April 2016). STUDY DESIGN: Randomized controlled trials which evaluated IV APAP for renal colic in the ED were eligible...
October 24, 2016: American Journal of Therapeutics
https://www.readbyqxmd.com/read/27773846/emergency-department-imaging-modality-effect-on-surgical-management-of-nephrolithiasis-a-multi-center-randomized-clinical-trial
#14
Ian S Metzler, Rebecca Smith-Bindman, Michelle Moghadassi, Ralph C Wang, Marshall L Stoller, Thomas Chi
PURPOSE: In the emergency department (ED), ultrasonography (US) is emerging as an alternative to computed tomography (CT) for diagnosing patients with nephrolithiasis. In this multi-center randomized clinical trial, we examined rates of urologic referral and intervention to elucidate if initial diagnostic imaging modality affected management of nephrolithiasis. MATERIALS AND METHODS: Patients ages 18-76 years who presented to the ED with renal colic across 15 diverse treatment centers were randomized to receive either an abdominal US by an ED physician, a radiologist or an abdominal CT...
October 20, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27770319/efficacy-of-model-based-iterative-reconstruction-technique-in-non-enhanced-ct-of-the-renal-tracts-for-ureteric-calculi
#15
T J Tan, Kenneth K Lau, Dana Jackson, Nicholas Ardley, Adina Borasu
The purpose of this study was to assess the efficacy of model-based iterative reconstruction (MBIR), statistical iterative reconstruction (SIR), and filtered back projection (FBP) image reconstruction algorithms in the delineation of ureters and overall image quality on non-enhanced computed tomography of the renal tracts (NECT-KUB). This was a prospective study of 40 adult patients who underwent NECT-KUB for investigation of ureteric colic. Images were reconstructed using FBP, SIR, and MBIR techniques and individually and randomly assessed by two blinded radiologists...
October 21, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27755147/contrast-enhanced-ultrasonography-in-suspected-renal-colic-response
#16
Frank T D'Arcy, Mike Leveridge, Dermot O'Kane, Joseph Ischia, David Webb, Damien Bolton, Nathan Lawrentschuk
No abstract text is available yet for this article.
December 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27755146/a-proposal-algorithm-for-patients-presenting-to-the-emergency-department-with-renal-colic
#17
Marco Fiore
No abstract text is available yet for this article.
December 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27747020/excision-of-middle-mediastinal-parathyroid-adenoma-by-videoscopic-assisted-mediastinoscopy-vam
#18
Rene Razzak, Todd McMullen, Eric L R Bédard
We report a case involving a female patient with primary hyperparathyroidism arising from a middle mediastinal parathyroid adenoma. Initial diagnosis was made based on a history of polyuria and recurrent renal colic. At the age of 77 she underwent videoscopic assisted mediastinoscopy (VAM) for resection of the adenoma which was localized using single-photon emission computed tomography (SPECT/CT). This case illustrates the importance for accurate pre-operative localization and intra-operative monitoring to ensure complete surgical removal in order to improve postoperative normocalcemia success rates...
September 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27730329/standard-vs-reduced-radiation-dose-ct-in-the-tracing-of-the-ureter
#19
Chang Kyu Sung, Min Hoan Moon, Hwancheol Son, Sohee Oh, Myoung Seok Lee, Hyunsik Woo
PURPOSE: To assess the effectiveness of reduced-radiation-dose computed tomography (CT) protocols in the tracing of the ureter in patients with suspected renal colic. METHODS: The study was approved by our institutional review board, and informed consent was obtained from the participants. From July 2012 to April 2014, 310 consecutive patients with suspected urolithiasis were recruited to undergo unenhanced CT at 280 (n = 62), 200 (n = 62), 140 (n = 62), 100 (n = 62), and 70 (n = 62) reference mA seconds (mAs) while keeping other imaging parameters constant...
October 11, 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/27720288/variation-in-the-intensity-of-care-for-patients-with-uncomplicated-renal-colic-presenting-to-u-s-emergency-departments
#20
Joshua W Elder, M Kit Delgado, Benjamin I Chung, Elizabeth A Pirrotta, N Ewen Wang
BACKGROUND: Renal colic results in > 1 million ED visits per year, yet there exists a gap in understanding how the majority of these visits, namely uncomplicated cases, are managed. OBJECTIVE: We assessed patient- and hospital-level variation for emergency department (ED) management of uncomplicated kidney stones. METHODS: We identified ED visits from non-elderly adults (aged 19-79 years) with a primary diagnosis indicating renal stone or colic from the 2011 Nationwide Emergency Department Sample...
December 2016: Journal of Emergency Medicine
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