by Alex Viau | Jul 27, 2023 | Featured, Grand Round Summaries, Resuscitation, Urology
Acute scrotal pain is a common in emergency departments, comprising ~ 0.5% of all presentations. However, torsion is another very time sensitive diagnosis that is ubiquitous across all ages as seen by this Rosen’s table. Incidence / Epidemiology Unfortunately,...
by Alex Viau | Jul 20, 2023 | Grand Round Summaries, Resuscitation, Urology
As per the 2021 updated guidelines for the management of priapism by Ericson et al, priapism is defined as a penile erection that lasts longer than 4 hours after completion of sexual activity or that is unrelated to sexual activity. The European Association of Urology...
by Marissa Ukos, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Mar 7, 2023 | Addictions, Chronic Pain, Full Article, Journal Club, Urology
Methodology: 2.5/5 Usefulness: 2.5/5 Razi A, et al. Am J Emerg Med. 2022 Aug;58:245-250. Question and Methods: This single-center, RCT of 120 patients with acute renal colic compared pain control and antiemetic use with dexamethasone + ketorolac compared to...
by Hans Rosenberg | Apr 22, 2019 | Infectious Disease, Journal Club, Pediatrics, Urology
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 3/5 Shaikh N, Hoberman A, Hum SW, Alberty A, Muniz G, Kurs-Lasky M, Landsittel D, Shope T. JAMA Pediatr. 2018 Jun 1;172(6):550-556. Question and Methods: The objective was to develop a risk-tool (UTICalc)...
by Hans Rosenberg | Jan 14, 2019 | Journal Club, Urology
Journal Club Summary Methodology: 4/5 Usefulness: 2.5/5 Meltzer AC, et al. JAMA Intern Med. 2018 Aug 1;178(8):1051-1057. Editorial: Medical Expulsive Therapy for Ureteral Stones – Stone Age Medicine. Methods: This multi-center RCT of emergency department...
by Robert Suttie | Dec 6, 2018 | Featured, Infectious Disease, Medical Education, Ultrasound, Urology
For other ultrasound cases see our POCUS archives Case Vignette 63-year-old male presents with a two-day history of groin pain and swelling. He has a history of hypertension and smoking. He takes an anti-hypertensive medication and an atypical antipsychotic for...
by Hans Rosenberg | May 14, 2018 | Journal Club, Quality Improvement, Urology
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 4/5 Stagg A, et al. BMJ Qual Saf. 2018 Feb;27(2):140-147. Question and Methods: This QI time-series analysis assessed the efficacy, safety and costs of a 2-step urine culture (UC)...
by Jeff Landerville, Robert Suttie | Mar 1, 2018 | Featured, Grand Round Summaries, Radiology, Urology
Renal colic is an diagnostic entity emergency providers see almost every shift, often cited as the “worst pain imaginable”. Here, Dr. Landreville takes use through an evidence based update so that we can provide the best possible care to these patients....
by Hans Rosenberg | Oct 16, 2017 | Featured, Journal Club, Urology
Journal Club Summary Reference: Gágyor I, et al. BMJ. 2015 Dec 23;351:h6544 Methodology Score: 4/5 Usefulness Score: 2.5/5 This multicenter, double blinded, randomized controlled trial assessed the use of ibuprofen versus fosfomycin in uncomplicated UTIs in women aged...
