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Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion

Journal of Pediatric Urology Aug 30, 2019

Friedman N, Pancer Z, Savic R, et al. - A chart review of 120 patients (12 cases of testicular torsion) presenting to the study emergency department who received point-of-care ultrasound (POCUS) by a pediatric emergency physician, as well as radiology department ultrasound and/or surgery, was conducted by the researchers in order to ascertain the accuracy of POCUS by pediatric emergency physicians in diagnosing testicular torsion and the agreement between point-of-care ultrasound and final diagnosis for other causes of acute scrotum. For all causes of the acute scrotum, POCUS agreed with the final diagnosis in 70% of cases, and more experienced POCUS users exhibited greater agreement with the final diagnosis. POCUS had generated a median of 73 min former to the radiology department ultrasound outcomes. Therefore, in children with an acute scrotum, POCUS by pediatric emergency physicians was concluded as accurate for discovering testicular torsion and could facilitate diagnosis of this time-sensitive condition.
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