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Effectiveness of Selective Use of Intravenous Pyelography in Patients Presenting to the Emergency Department with Ureteral Colic.

Acad Emerg Med

August 1997

From New York Hospital Medical Center of Queens, Flushing, NY, Department of Emergency Medicine (SRT, CPS, CRR, DMS, DSP)Cornell University Medical College, New York, NY, Department of Medicine, Division of Emergency Medicine (SRT, CPS, CRR, DMS. DSP).

Objective: To determine whether IV pyelography (IVP) is required routinely for all patients presenting to the ED with ureteral colic.

Methods: A randomized prospective study was conducted with 2 patient groups-a routine IVP group, in which all patients underwent IVP, and a selective IVP group, in which patients were treated, observed, and released without undergoing IVP unless they experienced continued symptoms. The study was performed in a large university-affiliated, community hospital ED.

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