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EBQ:Hematuria in Renal Colic
From WikEM
incomplete Journal Club Article
Luchs J. et al.. "Utility of hematuria testing in patients with suspected renal colic: correlation with unenhanced helical CT results". Urology. 2002. 59(6):839-42.
PubMed
PubMed
Contents
Clinical Question
How accurate is urinalysis for detecting ureteral stones?
Conclusion
The presence or absence of blood on urinalysis cannot be used to reliably determine which patients have ureteral stones.
Major Points
Urinalysis compared to noncontrast CT (gold standard):
Sensitivity 84%
Specificity 48%
Study Design
Retrospective chart review of 950 patients who had a formal microscopic urinalysis within 24 hours of undergoing a non-contrast helical CT.
Population
Patient Demographics
Inclusion Criteria
Exclusion Criteria
Interventions
Workup and treatment according to treating physician (retrospective review).
Outcomes
Primary Outcome
Secondary Outcomes
None.
