15 - Renal Calculi/Colic

Question 1

Typical presentation of renal colic?

Answer 1

Severe acute loin pain radiating to the ipsilateral groin

- often associated with nausea and vomiting

Question 2

What is seen in renal calculi cases on urinalysis and how often?

Answer 2

Microscopic haematuria

- 85-95% cases

Question 3

Which imaging is the preferred modality for renal calculi, why, and at what stage in management should it be order?

Answer 3

Non-contract CT (KUB)

• due to high sensitivity and specificity
• should be ordered as soon as renal calculi are suspected