title: Posterior urethral valves diagnosed by bedside ultrasound in the ED.
abstract: Posterior urethral valves are the most common cause of urinary obstruction in male children. Presentations of posterior urethral valves beyond the neonatal period include urinary tract infection, abdominal mass, renal failure,diminished urinary stream, crying during micturition,incontinence, dysuria, hematuria, or failure to thrive. Early diagnosis is imperative because early surgical relief of the obstruction is believed to help prevent the progression to endstage renal disease.This case serves to remind us that, in the male child who presents with urinary symptoms and/or abdominal symptoms,the bedside sonogram is a valuable tool that can clarify the diagnosis and expedite care.
authors.affiliation: Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
authors.forename: Joshua
authors.initials: J
authors.lastname: Schecter
authors.forename: Jennifer H
authors.initials: JH
authors.lastname: Chao
mesh_terms: D002648:Child; D004636:Emergency Service, Hospital; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D019095:Point-of-Care Systems; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging; D014524:Urethral Obstruction / Q000000981:diagnostic imaging*; D001743:Urinary Bladder / Q000000981:diagnostic imaging