[Clinical and laboratory tests characteristics in children with nephrolithiasis: case control study].

Abstract:

OBJECTIVES:To evaluate the clinical and laboratory findings in pediatric patients with urolithiasis in a case control study and to obtain variables predicting a low risk of having urolithiasis. METHODS:Retrospective analysis of 24 cases of children with urolithiasis (age range 3 to 17 years old) admitted to the pediatric emergency room or the hospital ward. Clinical and laboratory information was obtained from the clinical charts and compared with a control group of 29 patients with history of abdominal pain admitted to the hospital. Binary logistic regression and recursive partitioning analysis were used to obtain variables predicting a low risk of having urolithiasis. RESULTS:There was no difference in age, gender, dysuria or nausea (p > 0. 2) between groups. A difference regarding the presence of fever (p = 0.007), haematuria (p = 0.001), costovertebral angle tenderness (p = 0.004), family history (p = 0.007) and abdominal pain lasting more than 48 hs (p = 0.04) was detected. After logistic regression and using recursive partitioning, the presence or history of fever, absence of gross haematuria and no family history of urolithiasis showed a 100% negative predictive value and sensitivity (95% CI 84.7 to 100 and 89.2 to 100 respectively). CONCLUSIONS:Children with abdominal pain present a low risk of having urolithiasis if there is a history or presence of fever, absence of gross haematuria and a negative family history of urolithiasis in a first degree relative.

journal_name

Arch Esp Urol

authors

Arízaga-Ballesteros V,Cuello-García CA

doi

10.4321/s0004-06142006000900005

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

883-8

issue

9

eissn

0004-0614

issn

1576-8260

journal_volume

59

pub_type

杂志文章
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  • [Primary adenocarcinoma of the seminal vesicles].

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  • [Tubercular ureteral stenosis. Endourologic treatment of 4 cases].

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  • [Electric stimulation of sacral roots for the treatment of urinary incontinence due to detrusor instability: application of a technique and results in a clinical case].

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  • [Laser and bladder tumors].

    abstract::Bladder cancer is one of the most frequents pathologies in urology. The introduction of the laser among the technical tools supposed a great advance, but the initial results with the first model failed with the expectations. Nevertheless, nowadays we have at our disposal a great variety of laser for urological use, wi...

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

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    更新日期:1991-03-01 00:00:00

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    doi:

    authors: Granados EA,Salvador J,Villavicencio H,Vicente J

    更新日期:1997-06-01 00:00:00

  • [Bilharziasis. Case report].

    abstract:OBJECTIVE:To report one case of bilharziasis treated at our centre and to briefly comment the literature in the current context of increase of parasitical diseases in Europe, imported from the Third World by immigrants and tourists. METHODS:We report the case of a male patient from a Central African country referred t...

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  • [Cystocele and stress urinary incontinence associated with lower urinary tract obstruction].

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    abstract::Ultrasonography has demonstrated to be a precise test with high sensitivity and specificity. The urologist is the most capable professional to obtain the maximum effectiveness of this technique, so that the availability of ultrasound machines in urology departments rationalizes and limits the demand of ultrasound test...

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  • [Primary retroperitoneal tumors].

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  • [Incidence of tumor pathology in a consecutive series of 497 kidney transplants in 431 patients].

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  • [Giant scrotal lymphedema].

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  • [Laparoscopic radical cystectomy and orthotopic urinary diversion in the male patient: technique].

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  • [Anatrophic nephrolithotomy: is it really an obsolete procedure?].

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  • [Urinary lithiasis as a systemic disease.]

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  • [Post-hysterectomy uretero-vaginal fistula: Laparoscopic management with ureteroneocystostomy and psoas hitch.]

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    doi:

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