Gerald R Jerkins

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Five children were evaluated for painless hematuria; currently recommended diagnostic studies were unsuccessful in determining a diagnosis. A renal calculus subsequently was passed or detected radiographically in each child from 14 to 20 months after the initial evaluation. Hypercalciuria was then demonstrated by quantitation of 24-hour urinary calcium(More)
Urinary calcium excretion was assessed in 83 consecutive children with gross or microscopic hematuria in whom the presence of proteinuria or urinary-tract infection had been excluded. Twenty-three children had hypercalciuria. Clinical features that were more commonly associated with hypercalciuria included gross hematuria and a family history of(More)
Our clinical experience with 47 pediatric patients with stones is reviewed. Surgical therapy was standard with successful stone manipulation in 12 of 13 patients. In 91 per cent of our patients factors causing or predisposing to stone disease were discovered. A thorough metabolic evaluation, including an oral calcium loading test in 20 children, proved to(More)
The pathogenetic roles of idiopathic renal hypercalciuria and absorptive hypercalciuria in children with urolithiasis have not yet been determined. Oral calcium loading studies were performed in 21 children with unexplained calcareous urolithiasis. Thirteen children, aged 20 months to 17 years, were found to have renal hypercalciuria after an overnight fast(More)
PURPOSE We evaluated the safety and efficacy of emergency exploration of neonatal torsion. MATERIALS AND METHODS We retrospectively reviewed the charts of 27 neonates (30 affected testicles) in a 13-year period. RESULTS Of the 10 testicles that were explored and fixed within 6 hours of discovery 2 (20%) were normal at physical examination at 1 year of(More)
During the last 19 years 40 girls with urethral prolapse have been seen at our medical center. Treatment has ranged from nonoperative approaches to excision of the prolapsed urethra. A comparison of the treatment modalities indicates that patients undergoing early local excision of the prolapse have the lowest complication rate and shortest hospital stay.
Forty-one patients with esodeviation (82 eyes) were subjected first to 1% tropicamide and retinoscopy and then to retinoscopy after the use of 0.5% to 1% atropine sulfate in children with esodeviation up to the age of 5 years. The ages ranged from 2 months to 5 years, and the esodeviation ranged from 5 to 50 diopters (D). There were 20 male and 21 female(More)
The ratio of urinary calcium (UCa)/urinary creatinine (UCr) concentrations (mg/mg) during calcium loading has been used to diagnose hypercalciuric states in adults. The UCa/UCr ratios have been examined before and after an oral dose of calcium in 48 healthy children following five days of abstinence from dietary milk products. No differences in UCa/UCr(More)