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The Use of a Google Search in the Diagnosis of a Rare Condition

Evans, Janelle Morgan MD*; South, Mary M. MD; Jaekle, Ron MD; Collins, Amy MD§; Lucas, Fred MD; Simulian, George MD

Female Pelvic Medicine & Reconstructive Surgery: March/April 2014 - Volume 20 - Issue 2 - p 121–122
doi: 10.1097/SPV.0000000000000057
Case Reports

Background This study aims to describe the use of the Internet in aiding the diagnosis of a rare lower urinary tract finding in a primiparous woman.

Methods A case of bladder schistosomiasis was reviewed.

Results After the referral from the obstetrics service with a bladder lesion noted on dating ultrasound, an asymptomatic primipara with 9 weeks of gestational age presented for cystoscopy. A polypoid lesion was noted, and suspected diagnosis of schistosomiasis was made using a Google image search. Urine cytologic evaluation confirmed the diagnosis, and the patient was treated without need for further invasive testing or bladder biopsy.

Conclusions The usefulness of Internet searches and other electronic resources should be appreciated in the diagnosis of rare conditions.

Online media can be a very helpful tool for many medical queries. We present a case in which Google images helped guide our clinical management.

From the *Christ Hospital, Divisions of †FPMRS and ‡MFM, Departments of §OB/GYN, ∥Pathology, and ¶Infection Disease, University of Cincinnati, Cincinnati, OH.

Reprints: Janelle Morgan Evans, MD, The Christ Hospital, University of Cincinnati, Auburn Ave, Cincinnati, OH 45219. E-mail: tinygynie@gmail.com.

The authors have declared they have no conflicts of interest.

© 2014 by Lippincott Williams & Wilkins