Renal colic: current protocols for emergency presentations

被引:25
作者
Leveridge, Mike [1 ,2 ]
D'Arcy, Frank T. [3 ]
O'Kane, Dermot [3 ]
Ischia, Joseph J. [3 ]
Webb, David R. [3 ]
Bolton, Damien M. [3 ,4 ]
Lawrentschuk, Nathan [3 ,4 ,5 ]
机构
[1] Queens Univ, Dept Urol, Kingston, ON, Canada
[2] Queens Univ, Dept Oncol, Kingston, ON, Canada
[3] Univ Melbourne, Austin Hlth, Urol Unit, Dept Surg, Melbourne, Vic 3010, Australia
[4] Olivia Newton John Canc Res Inst, Melbourne, Vic, Australia
[5] Peter MacCallum Canc Ctr, Melbourne, Vic, Australia
关键词
stone; colic; emergency; renal; imaging; MEDICAL EXPULSIVE THERAPY; HYOSCINE N-BUTYLBROMIDE; COMPUTED-TOMOGRAPHY; ANTIINFLAMMATORY DRUGS; URINARY-TRACT; EFFICACY; PAIN; TAMSULOSIN; RADIOGRAPHY; SENSITIVITY;
D O I
10.1097/MEJ.0000000000000324
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Flank pain caused by renal colic is a common presentation to emergency departments. This paper reviews the acute clinical assessment of these patients, outlines appropriate diagnostic strategies with labwork and imaging and updates the reader on conservative treatments, suitable choices for analgesia and indications for surgical intervention. Prompt diagnosis and appropriate treatment instituted in the Emergency Department can rapidly and effectively manage this excruciatingly painful condition.
引用
收藏
页码:2 / 7
页数:6
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