INTRODUCTION Determining which patients with ureterolithiasis are likely to require urologic intervention is a common challenge in the emergency department (ED). The objective was to determine if normal renal sonogram could identify low-risk renal colic patients, who were defined as not requiring urologic intervention within 90 days of their initial ED visit and can be managed conservatively. ...

BACKGROUND This study aimed to compare the epidemiology, clinical presentations, management, and outcomes of renal colic presentations in two major academic centers from geographically diverse populations: Qatar (a country in the Afro-Asian stone belt) and South-Eastern Australia (not within a stone belt). METHODS We undertook a retrospective cohort study of patients with renal colic who pres...

PURPOSE To evaluate the hypothesis that prophylactic insertion of Double-J stents after uncomplicated transurethral lithotripsy (TUL) can decrease the number of episodes of renal colic and their intensity in patients with recurrent ureteral stones (those with three or more episodes of stone formation). PATIENTS AND METHODS During a prospective randomized clinical trial from May 1999 to Januar...

OBJECTIVE To report two cases of right crossed non-fused renal ectopia diagnosed in male patients about 30 years of age who arrived to emergency centres with symptoms of renal colic. METHODS We report two cases of male patients who arrived to an emergency centre complaining of colic lumbar pain. Crossed renal ectopia was finally revealed by means of intravenous urogram after several analytica...

PATIENT Female, 32 FINAL DIAGNOSIS: Renal colic Symptoms: Acute colic pain • macrohematuria MEDICATION Mesalazine Clinical Procedure: CT scan of urinary tract • cystoscopy • gynecological consultation • stone analysis Specialty: Gastroenterology and Hepatology • Clinical Pharmacology. OBJECTIVE Unexpected drug reaction. BACKGROUND Mesalazine, a 5-aminosalicylic acid compound, is one of th...

Xanthogranulomatous pyelonephritis (XGP) is a rare histological subset of pyelonephritis characterized by being a chronic destructive granulomatous inflammation of the renal parenchyma. XGP is classified according to the extent of disease into two entities: within the renal cortex (focal or segmental XGP) or diffuse spread with pelvic communication (diffuse XGP). Although rare, XGP can have fat...

A retrospective chart review was conducted of patients with acute renal colic for the years 1993 and 1997, in order to compare analgesia ordering and administration practices before and after implementation of a nurse-managed, titrated intravenous (i.v.) narcotic policy. The study demonstrated a significant and sustained change in analgesia administration practices away from the intramuscular (...

OBJECTIVES The aim of this study was to compare morphine and pethidine in patients with clinically suspected renal colic with regard to analgesic efficacy, patient satisfaction and side effects. METHODS double blinded, randomised controlled trial. RESULTS There was no significant difference between morphine and pethidine with respect to any of the parameters measured. CONCLUSION Because o...