{"pk":8051,"title":"Bilateral Hydronephrosis and Cystitis Resulting from Chronic Ketamine Abuse","subtitle":null,"abstract":"Ketamine associated urinary dysfunction has become increasingly more common worldwide. Point-of-care ultrasound (POCUS) is an established modality for diagnosing hydronephrosis in the emergency department. We describe a case of a young male ketamine abuser with severe urinary urgency and frequency in which POCUS performed by the emergency physician demonstrated bilateral hydronephrosis and a focally thickened irregular shaped bladder. Emergency physicians should consider using POCUS evaluate for hydronephrosis and bladder changes in ketamine abusers with lower urinary tract symptoms. The mainstay of treatment is discontinuing ketamine abuse. [West J Emerg Med. 2014;15(4):382–384.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"ketamine"},{"word":"ultrasound"},{"word":"point-of-care"},{"word":"emergency"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9r73g9zv","frozenauthors":[{"first_name":"Vu Huy","middle_name":"","last_name":"Tran","name_suffix":"","institution":"Albert Einstein College of Medicine, Jack D. Weiler Hospital,  Bronx, New York","department":"None"},{"first_name":"Mathew","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York","department":"None"},{"first_name":"Joshua","middle_name":"","last_name":"Nogar","name_suffix":"","institution":"Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York","department":"None"},{"first_name":"Robert","middle_name":"M","last_name":"Bramante","name_suffix":"","institution":"Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York","department":"None"}],"date_submitted":"2013-11-25T04:30:10Z","date_accepted":"2013-11-25T04:30:10Z","date_published":"2014-05-23T17:35:55Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/8051/galley/4651/download/"}]}