| Sonography vs. excretory urography in acute flank pain. | |
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MedLine Citation:
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PMID: 3890487 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A prospective study compared the diagnostic accuracy of sonography and excretory urography in determining the cause of acute flank pain in 61 patients. Forty-one patients had urinary tract stone disease. Of these, five had nonobstructing renal stones and 36 had obstructing stones. A correct diagnosis was made by urography in 85% and by sonography in 66%. Small stones at the ureterovesical junction were more accurately diagnosed by sonography (79%) than by urography (68%). In all the patients where sonography failed to detect the offending stone, the stone was calcified and evident on the plain radiographs. There were no false-positive diagnoses in the patients clinically judged to have passed a renal stone (nine patients) or whose pain was arising outside of the urinary tract (five patients). Neither sonography (17%) nor urography (50%) was accurate in diagnosing acute pyelonephritis in the six patients with this diagnosis. Although sonography is not as accurate overall as urography in acute flank pain, it is a viable alternative in those with recurrent renal colic due to stone disease and in the pregnant patient. |
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Authors:
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M C Hill; J I Rich; J G Mardiat; C A Finder |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 144 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 1985 Jun |
Date Detail:
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Created Date: 1985-07-03 Completed Date: 1985-07-03 Revised Date: 2008-02-15 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1235-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen Adult Aged Female Humans Male Middle Aged Pain / diagnosis*, radiography Ultrasonography* Urinary Calculi / diagnosis*, radiography Urography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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