Category Genitourinary

Kids with Kidney Stones

Kids with Kidney Stones Kidney stones are a relatively common entity encountered on the adult side of the ED, but while kids are not just little adults, some will develop adult-like problems. There has been an increase in incidence of…

Proteinuria

In the ED (as well as the primary care office), we obtain a lot of urine samples. Most often looking for signs of infection, but also looking for potential evidence of renal disease (in the child who presents with swollen…

Testicular Torsion

Torsion is the most significant condition on the DDx of patient with scrotal pain. Prompt diagnosis is imperative: The success rate of saving the testicle decreases after 6-8 hours. At 12 hours, is the success rate is near 0% (BUT…

Nonspecific diarrheal illness or HUS?

            Certainly we have been seeing (and will continue to see) a lot of nonspecific diarrheal illness in the Ped ED. Before you dismiss the patient as having “gastroenteritis,” consider whether this is something else,…

Urinalysis vs Dipstick (vs culture)

        Urinalysis A Urinalysis consists of 3 components: Macroscopic (color, clarity, specific gravity) Reagent Strip (chemical analysis) Microscopic There is often variation in providers working regarding which method should be used to evaluate a patient for a…