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Below is the paper I referred to.

 

GOING DIPPY OVER IVUS?

N. Arya , M. Shuaib, G.T Manivannan, D. Ports. Wycombe General Hospital , A&E department, Queen Alexandra Road, High Wycombe, South Bucks, HP11 2TT

From 40 patients (with 41 intravenous urograms) being investigated for renal/ureteric colic in an emergency department we compared the results of their urine for blood on the dipstix(R.) scale of +1 to +3 (+1=negative, +2=trace of lysed blood, +3=trace of in tact blood) to the results of their respective intravenous urograms (1Vus) to assess the possibility of urinary tract calculi.

Dipstix result

IVU results                             + 1         +2         +3

Conclusive negative             8             3         13

Probably negative                 0             3         1

Conclusive positive                 0         2             7

Probably positive                 0             1             3

Results:

The results suggest to us that:

 +1 result on dipstix: there is little probability of a positive IVU

 +2 result on dipstix: the probability of a positive IVU is small but warrants investigation with a non-urgent IVU

 +3 result on dipstix: there is a reasonable probability of a positive IVU & justifies an urgent IVU.

 

Ray McGlone

Lancaster

----- Original Message -----
From: "John Ryan" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, February 28, 2002 8:35 PM
Subject: IVU

> Does anyone have audit results on their 'strike' rate for IVUs requested
> from an emergency department.  Having completed a recent audit in our
> department i'm not sure if the 'standard' is to high or to low !  What is
> other's experience of positivity of IVU per requested investigation ?
>
> Dr John Ryan
>