These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Evaluation of obstructive uropathy in children: radionuclide renography vs. the Whitaker test.
    Author: Senac MO, Miller JH, Stanley P.
    Journal: AJR Am J Roentgenol; 1984 Jul; 143(1):11-5. PubMed ID: 6610302.
    Abstract:
    Differentiation of obstructed from dilated, nonobstructed urinary systems in the postoperative child is a difficult diagnostic problem. A comparison study was performed in 21 children with hydroureteronephrosis using the Whitaker test in combination with conventional radionuclide renography and/or diuretic (furosemide)-augmented radionuclide renography. The results of each method were correlated with the clinical assessment and surgical findings. Conventional renography was found to be an unreliable study, with a clinical correctness of only 57%. Results were more favorable for both the Whitaker test and diuretic-augmented radionuclide renography, with clinical correctness in 86% and 85%, respectively. Furthermore, when both tests agreed, no false negatives or false positives were obtained. Due to the noninvasive nature of the study, diuretic-augmented renography should be the initial procedure once hydroureteronephrosis is established. A recommended algorithm of the child with postoperative hydroureteronephrosis is suggested.
    [Abstract] [Full Text] [Related] [New Search]