| Home > Table of Contents >
General Practitioner's Section |
| |
CT K.U.B in Diagnosis of Renal colic
OP Kapoor |
| |
In the past, I have often stressed that the
most common cause of renal colic is a calculus, which is less than 5 mm. Very often this calculus is not seen on sonography, or even on X-ray K.U.B.
In such cases, I advise the patients to get an IV Urography done to diagnose, or exclude calculus. But now we have the CT KUB (Computed tomography KUB). So clear and vivid are the images that one has to see them to believe it! Even a 2-3 mm calculus can be clearly seen and a slight dilatation of the ureter and pelvis can be beautifully visualized, sometimes with or without the help of a slight contrast.
Does this mean that the next time you have a problem differentiating between an appendicular pain and right ureteric colic, CT KUB is the investigation of choice? Yes, Even the cost of this investigation (which is around Rs. 2300/-) is nearly the same as that of an IV Urography!!
|
| |
MALARIA VACCINE
‘The RTS,S/AS02A candidate malaria vaccine confers partial protection for at least 18 months’
The 21st century has already seen breakthroughs in the global effort to develop a malaria vaccine. RTS,S/AS02A, which targets the pre-erythrocytic stage of Plasmodium falciparum, has shown some success in initial trials. In a single-blind follow-up phase of their trial, Pedro Alonso and colleagues assessed efficacy of the vaccine up to 21 months in Mozambican children. The vaccine reduced the risk of clinical malaria by 35% and nearly halved the risk of severe malaria over a period of 18 months, with no evidence of waning efficacy, confirming that such vaccines have the potential to become credible tools for public-health use.
Lancet, 2006; 2012.
|
|
| |
| Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008. |
| Top |
|
