Haematuria presenting in outpatients attending a department of genitourinary medicine.

Amarasuriya, K. L.

doi:10.1136/sti.55.3.214

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…In males, the external genitalia should be examined. 22 N In both sexes, a digital rectal examination should be performed to exclude tumour masses either in the prostate or in the pouch of Douglas.…”

Section: Clinical Examinationmentioning

confidence: 99%

Management of macroscopic haematuria in the emergency department

Hicks

Li²

2008

Postgraduate Medical Journal

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Macroscopic haematuria is a commonly seen condition in the emergency department (ED), which has a variety of causes. However, most importantly, macroscopic haematuria has a high diagnostic yield for urological malignancy. 30% of patients presenting with painless haematuria are found to have a malignancy. The majority of these patients can be managed in the outpatient setting. This review of current literature suggests a management pathway that can be used in the ED. A literature search was done using Medline, PubMed and Google. In men aged >60 years, the positive predictive value of macroscopic haematuria for urological malignancy is 22.1%, and in women of the same age it is 8.3%. In terms of the need for follow-up investigation, a single episode of haematuria is equally important as recurrent episodes. Baseline investigation in the ED includes full blood count, urea and electrolyte levels, midstream urine dipstick, β human chorionic gonadotrophin, and formal microscopy, culture and sensitivities. Treatment of macroscopic haematuria aims at RESP—Resuscitation, Ensuring, Safe and Prompt. Indications for admission include clot retention, cardiovascular instability, uncontrolled pain, sepsis, acute renal failure, coagulopathy, severe comorbidity, heavy haematuria or social restrictions. Discharged patients should drink plenty of clear fluids and return for further medical attention if the following occur: clot retention, worsening haematuria despite adequate fluid intake, uncontrolled pain or fever, or inability to cope at home. Follow-up by a urological team should be promptly arranged, ideally within the 2-week cancer referral target.

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Section: Clinical Examinationmentioning

confidence: 99%

Management of macroscopic haematuria in the emergency department

Hicks

Li²

2008

Postgraduate Medical Journal

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Carcinoma of the bladder presenting as gonococcal cystitis.

Blackwell¹,

Barrow²

1980

Sexually Transmitted Infections

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Applying a novel approach to scoping review incorporating artificial intelligence: mapping the natural history of gonorrhoea

Whelan

Ghoniem

Médoc

et al. 2021

BMC Med Res Methodol

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Background Systematic and scoping literature searches are increasingly resource intensive. We present the results of a scoping review which combines the use of a novel artificial-intelligence-(AI)-assisted Medline search tool with two other ‘traditional’ literature search methods. We illustrate this novel approach with a case study to identify and map the range of conditions (clinical presentations, complications, coinfections and health problems) associated with gonorrhoea infection. Methods To fully characterize the range of health outcomes associated with gonorrhoea, we combined a high yield preliminary search with a traditional systematic search, then supplemented with the output of a novel AI-assisted Medline search tool based on natural language processing methods to identify eligible literature. Results We identified 189 health conditions associated with gonorrhoea infection of which: 53 were identified through the initial ‘high yield’ search; 99 through the systematic search; and 124 through the AI-assisted search. These were extracted from 107 unique references and 21 International Statistical Classification of Diseases and Related Health Problems Ninth and Tenth Revision (ICD 9/10) or Read codes. Health conditions were mapped to the urogenital tract (n = 86), anorectal tract (n = 6) oropharyngeal tract (n = 5) and the eye (n = 14); and other conditions such as systemic (n = 61) and neonatal conditions (n = 7), psychosocial associations (n = 3), and co-infections (n = 7). The 107 unique references attained a Scottish Intercollegiate Guidelines Network (SIGN) score of ≥2++ (n = 2), 2+ (14 [13%]), 2- (30 [28%]) and 3 (45 [42%]), respectively. The remaining papers (n = 16) were reviews. Conclusions Through AI screening of Medline, we captured – titles, abstracts, case reports and case series related to rare but serious health conditions related to gonorrhoea infection. These outcomes might otherwise have been missed during a systematic search. The AI-assisted search provided a useful addition to traditional/manual literature searches especially when rapid results are required in an exploratory setting.

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Haematuria presenting in outpatients attending a department of genitourinary medicine.

Cited by 3 publications

References 2 publications

Management of macroscopic haematuria in the emergency department

Management of macroscopic haematuria in the emergency department

Carcinoma of the bladder presenting as gonococcal cystitis.

Applying a novel approach to scoping review incorporating artificial intelligence: mapping the natural history of gonorrhoea

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