A study of USG in the evaluation of renal colic patients at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 12
Abstract
Background: The emergency department investigation of a patient with acute flank pain associated with hematuria has traditionally included an excretory urogram to exclude or confirm the clinical suspicion of ureteric calculi. Aims and Objectives: To Study USG in the evaluation of Renal colic patients at tertiary health care center. Methodology: all patients presenting with symptoms typical of renal colic attending the medicine and surgical OPD in santhiram medical college and general hospital were included into study while Pregnant women excluded from the study. Plain X-ray KUB,Ultrasound and CT scan study were done in 104 patients presenting with symptoms typical of renal colic attending the medical and surgical OPD in santhiram medical college and general hospital, CT imaging was erformed using Siemens somatom Emotion duo machine. The data was analyzed by T-est in statistical package for the social science (SPSS). Result: USG positive in 74 people-71.15%, As per site Kidney-positive in 36 people-97%, Ureter-ositive in 26 people -48.1%, Bladder-positive in 6 people-100%, Urethra -positive in 6 people-100%. CT is superior to ultrasound and radiograph in all areas ultrasound is more sensitive for detecting renal, bladder and urethra calculi radiograph is more sensitive for detecting ureter, bladder and urethra calculi when compared to renal calculi. CT imaging is superior to ultrasound (97%) and radiograph (55%) for detection of calculi in kidney. For detection of calculi in ureter CT is superior to radiograh (64%) and ultrasound (48%).CT and ultrasound are equally sensitive and superior to radiograph for detecting urethral calculi. Conclusion: It can be concluded from our study that CT was superior to USG and Radiograph for overall detection of renal calculi but USG was superior to radiograph and if the condition of hydro nephrosis is considered the USG is useful as CT found useful in the management of renal calculi.
Authors and Affiliations
Digvijay Ghodake, Abhijit Nagapurkar, Nikit Mehta, Anil G Joshi
Keywords
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