| Does diagnosis change as a result of repeat renal colic computed tomography scan in patients with a history of kidney stones? | |
| | |
MedLine Citation:
|
PMID: 20223385 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY OBJECTIVE: We sought to determine the incidence of alternative diagnosis in patients with a history of kidney stones who experience recurrent symptoms and undergo repeat computed tomography (CT) imaging at their return to the emergency department (ED). METHODS: This was a retrospective chart review of ED patients at a tertiary care hospital. Inclusion criteria were all adult ED patients who received a repeat CT for renal colic, after having previously received the diagnosis of obstructive kidney stone confirmed by CT, in our ED. Patients were identified by reviewing the charts of those patients with repeat visits to the ED after January 1, 2004, in which they complained of symptoms suggestive of renal colic and received a CT scan. We determined the frequency of the same diagnosis on repeat CT scan in this population compared with the frequency of alternative diagnosis. RESULTS: Two hundred thirty-one patients met criteria for the study. Fifty-nine percent were male. One hundred eighty-nine (81.8%) patients had no change in diagnosis as a result of a repeat renal colic CT scan. Twenty-seven (11.6%) patients received an alternative diagnosis that did not require urgent intervention, and 15 (6.5%) patients received a diagnosis that did require an urgent intervention. CONCLUSION: Repeat CT imaging of patients with known nephrolithiasis changed management in a minority of patients (6.5%). Knowing the frequency of alternative diagnosis in this population may help clinicians and patients balance the risks and benefits of repeat renal colic CT scans in patients with a history of kidney stones who return to the ED with similar symptoms. |
| | |
Authors:
|
Adam Goldstone; Andrew Bushnell |
Related Documents
:
|
15486235 - Mimics of renal colic: alternative diagnoses at unenhanced helical ct. 8480875 - Oral and contact dissolution of gallstones. 15162235 - Imaging of neuroendocrine tumors: accuracy of helical ct versus srs. 9338725 - Spiral computed tomography for staghorn calculi. 18569645 - Vocal tract and register changes analysed by real-time mri in male professional singers... 21795055 - 15mcps photon-counting x-ray computed tomography system using a zno-mppc detector and i... |
Publication Detail:
|
Type: Journal Article Date: 2010-01-28 |
Journal Detail:
|
Title: The American journal of emergency medicine Volume: 28 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-03-12 Completed Date: 2010-05-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 291-5 Citation Subset: IM |
Copyright Information:
|
2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
University of Vermont College of Medicine, Burlington, 05405, USA. adamgoldstonemd@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Diagnosis, Differential Female Humans Kidney Calculi / radiography* Male Middle Aged Recurrence Renal Colic / radiography* Retreatment Retrospective Studies Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: What is the optimal dose of epinephrine during cardiopulmonary resuscitation in a rat model?
Next Document: Intranasal naloxone delivery is an alternative to intravenous naloxone for opioid overdoses.