دورية أكاديمية
Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study
| العنوان: | Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study |
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| المؤلفون: | Zitek,Tony, Ahmed,Omar, Lim,Chee, Carodine,Rianda, Martin,Kent |
| بيانات النشر: | Dove Press |
| سنة النشر: | 2020 |
| المجموعة: | Dove Medical Press |
| مصطلحات موضوعية: | Open Access Emergency Medicine |
| الوصف: | Tony Zitek,1– 3 Omar Ahmed,3 Chee Lim,4 Rianda Carodine,1,5 Kent Martin2 1Department of Emergency Medicine, University Medical Center of Southern Nevada, Las Vegas, NV, USA; 2Department of Emergency Medicine, Kendall Regional Medical Center, Miami, FL, USA; 3Department of Emergency Medicine, University of Nevada, Las Vegas School of Medicine, Las Vegas, NV, USA; 4Touro University Nevada College of Osteopathic Medicine, Henderson, NV, USA; 5University of Nevada, Las Vegas, NV, USACorrespondence: Tony ZitekDepartment of Emergency Medicine, Kendall Regional Medical Center, 11750 SW 40 th St, Miami, FL 33175, USAEmail Zitek10@gmail.comPurpose: Many experts recommend ordering an ultrasound and a urinalysis on all patients with scrotal pain. While the ultrasound may help diagnose a number of potential causes of scrotal pain, the urinalysis primarily has value in assessing for epididymo-orchitis. This study sought to evaluate the utility of these diagnostic tests for patients who presented to the emergency department (ED) with acute scrotal pain and possible epididymo-orchitis.Patients and Methods: This was a single-center chart review of patients presenting to the ED with scrotal pain. Trained research assistants reviewed charts to obtain urinalysis and ultrasound results as well as diagnoses and treatments provided. Using the final diagnosis as a gold standard, the sensitivity and specificity of ultrasound and urinalysis were calculated for the diagnosis of epididymo-orchitis. Also, through a prespecified definition of “changed management,” we estimated the percentage of cases in which a urinalysis changed management of patients with acute scrotal pain.Results: We identified 663 adult and pediatric patients who presented with scrotal pain during 2016. All patients had an ultrasound performed, and 458 (69.1%) had a urinalysis done. The sensitivity of urinalysis for epididymo-orchitis was 58.2% (95% CI 48.9% to 67.1%), and the specificity was 85.1% (95% CI 80.8% to 88.7%). For ultrasound, the sensitivity was 78.8% (95% ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text/html |
| اللغة: | English |
| العلاقة: | https://www.dovepress.com/assessing-the-utility-of-ultrasound-and-urinalysis-for-patients-with-p-peer-reviewed-fulltext-article-OAEMTest |
| الإتاحة: | https://doi.org/10.2147/OAEM.S234413Test https://www.dovepress.com/assessing-the-utility-of-ultrasound-and-urinalysis-for-patients-with-p-peer-reviewed-fulltext-article-OAEMTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.AD9B0340 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |