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Radiological Case of the Month

Radiological Case of the Month Abstract Clinical History.—This 12½-year-old boy was seen because of dark urine. Eleven days prior to the present visit, he had sore throat and fever, for which he received penicillin. Five days later, he developed left flank pain and for three days had passed dark urine. There was no other significant history. Physical Examination.—The patient was in no distress. His blood pressure was 100/60 mm Hg. There were no abnormal physical findings. Laboratory.—The urine was loaded with erythrocytes, had a specific gravity of 1.016, and contained albumin (2+). The antistreptolysin O (ASL-O) titer was 250 Todd units (TU) and rose to 500 TU one week later. The erythrocyte sedimentation rate was 10 mm/hr (Westergren). The clinical diagnosis was acute glomerulonephritis. The urine cleared within one week, at which time an excretory urogram was obtained. Denouement and Discussion Ureteral Jet Effect The diagnosis of acute glomerulonephritis was made on the References 1. Caffey, J.: Pediatric X-Ray Diagnosis , ed 5, Chicago: Year Book Publishers, Inc., 1967, pp 629-630. 2. Paul, L.W., and Juhl, J.H.: The Essentials of Roentgen Interpretation , New York: Hoeber Medical Division, Harper & Row Publishers, Inc., 1962, p 489. 3. Emmett, J.L.: Clinical Urography , ed 2, Philadelphia: W. B. Saunders Co., 1964, p 299. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Radiological Case of the Month

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1969.02100030205016
Publisher site
See Article on Publisher Site

Abstract

Abstract Clinical History.—This 12½-year-old boy was seen because of dark urine. Eleven days prior to the present visit, he had sore throat and fever, for which he received penicillin. Five days later, he developed left flank pain and for three days had passed dark urine. There was no other significant history. Physical Examination.—The patient was in no distress. His blood pressure was 100/60 mm Hg. There were no abnormal physical findings. Laboratory.—The urine was loaded with erythrocytes, had a specific gravity of 1.016, and contained albumin (2+). The antistreptolysin O (ASL-O) titer was 250 Todd units (TU) and rose to 500 TU one week later. The erythrocyte sedimentation rate was 10 mm/hr (Westergren). The clinical diagnosis was acute glomerulonephritis. The urine cleared within one week, at which time an excretory urogram was obtained. Denouement and Discussion Ureteral Jet Effect The diagnosis of acute glomerulonephritis was made on the References 1. Caffey, J.: Pediatric X-Ray Diagnosis , ed 5, Chicago: Year Book Publishers, Inc., 1967, pp 629-630. 2. Paul, L.W., and Juhl, J.H.: The Essentials of Roentgen Interpretation , New York: Hoeber Medical Division, Harper & Row Publishers, Inc., 1962, p 489. 3. Emmett, J.L.: Clinical Urography , ed 2, Philadelphia: W. B. Saunders Co., 1964, p 299.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Feb 1, 1969

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