5-Minute Journal Club: Can obstructive urolithiasis be safely excluded on contrast CT? A retrospective analysis of contrast-enhanced and noncontrast CT

Author: Dr. Tucker Matthews  We see a whole lot of flank pain in the ED, and more and more, we go for non-contrast CT scans (19% of acute flank pain encounters in 2000 had NCCTs, whereas 45% did in 2008). And these NCCTs are pretty damn effective at detecting urolithiasis. Unfortunately, however, a lot of

Kidney Stones

Kidney stones…where to start. They’ve been described as “more painful than childbirth” (I can’t confirm as I’ve been fortunate enough to not had a kidney stone…or given birth) and are responsible for >1 million ED visits per year. In this wonderful blog post we will cover what you, as an ED physician, need to know

Pediatric Urologic Emergencies

In this blog, we’re going to dive into the topic of  pediatric urologic emergencies. We’re going to focus on some of the more uncommon emergencies such as:  phimosis, paraphimosis, priapism, entrapment injuries, testicular torsion, epididymitis, varicocele, and hydrocele. It’s important to note that UTI’s and Kidney stones are also common in peds, and often require additional work-up as often indicate abnormal anatomy or disease processes.