Document Detail


Importance of obtaining a detailed medical history in diagnosing emphysematous cystitis.
MedLine Citation:
PMID:  20160248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pneumaturia has long been known to be the characteristic pathognomonic finding in emphysematous cystitis. However, its history is often difficult to elicit. Imaging studies are diagnostic in the majority of emphysematous cystitis cases described in the literature. The authors present a unique case in which the patient did not admit having pneumaturia until detailed questioning about her medical history was completed after diagnostic imaging. Had an earlier and more thorough medical history been conducted, the patient's diagnosis would have been achieved several months earlier, before presentation to the emergency department, as described in the present case. Early diagnosis is vital to decrease the morbidity and mortality associated with emphysematous cystitis.
Authors:
Jeremy K Selley; Bryan G Kane; Kathleen E Kane
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the American Osteopathic Association     Volume:  110     ISSN:  1945-1997     ISO Abbreviation:  J Am Osteopath Assoc     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-05-04     Revised Date:  2010-09-08    
Medline Journal Info:
Nlm Unique ID:  7503065     Medline TA:  J Am Osteopath Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  91-4     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Lehigh Valley Health Network, 2545 Schoenersville Rd, Bethlehem, PA 18017-7300, USA. jselley78@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cystitis / diagnosis*
Emphysema / diagnosis*
Female
Gases
Humans
Medical History Taking
Tomography, X-Ray Computed
Urination
Chemical
Reg. No./Substance:
0/Gases
Comments/Corrections
Comment In:
J Am Osteopath Assoc. 2010 Aug;110(8):487; author reply 487-8   [PMID:  20805552 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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