Calculi Flashcards
1
Q
Hx of loin pain
A
Duration Onset Character of pain Radiation Uni or bi lateral Relieving and aggravating factors Previous episodes? Associated symptoms
2
Q
Describe renal colic
A
Sudden onset Severe colicky pain Radiates to iliac fossa, labia, testicle, penis Unilateral Associated with N and V
3
Q
Investigations for renal colic
A
Urinalysis - if no blood, not stones Baseline obs (temperature!!) Check tenderness in iliac fossa and flanks FBC Us and Es Urine MCS CTKUB
4
Q
Significance of fever and renal colic
A
Infection and stone is urological emergency
May have pyonephrosis
Call seniors!
5
Q
Management of renal colic
A
Analgesia - diclofenac first line
Antiemetics if needed
IV fluids if dehydrated
Either surgery or recheck stone has passed spontaneously in 2-3 weeks
6
Q
Indications for surgical intervention in renal colic
A
Renal impairment Single kidney Fever Persistent pain Large stone Proximal stone
7
Q
Surgery for stones
A
Ureteroscopy and lasertripsy
Extracorporeal shockwave lithotripsy
JJ stent
