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 patients presenting with symptomatic renal colic compared Tamsulosin vs placebo in the rate of stone passage at 28Read More →
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 sleeping. The patient denies abdominal pain, nausea/vomiting, back pain, fevers, trauma.Read More →
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) collection system. Findings: There was a decrease in UC processing (5.9%-4.6%), positive UCsRead More →
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 18-65. The study assessed antibiotic usage, symptom burden, and complications arising fromRead More →