This weeks readings:
Chandra A, et al, Point-of-care ultrasound in pediatric urolithiasis: an ED case series, Am J Emerg Med (2015), http://dx.doi.org/10.1016/j.ajem.2015.05.048
C. Ng and J. W. Tsung AVOIDING COMPUTED TOMOGRAPHY SCANS BY USING POINT-OF-CARE ULTRASOUND WHEN EVALUATING SUSPECTED PEDIATRIC RENAL COLIC The Journal of Emergency Medicine, Vol. 49, No. 2, pp. 165–171, 2015
- Would you feel comfortable using POCUS as the only imaging test if it revealed hydronephrosis on the side of pain? Why or why not?
- Is probe orientation in the transverse view an essential component of this scan? Why or why not?
- Are you surprised that the 3 year old with a 1cm stone received no further imaging? Why or why not?
- In one of the papers, CT was avoided in all patients. In the other, it was obtained in all patients. Why the difference?
- Bonus question: Why are patients with IBD predisposed to urolithiasis?