Clinical Case Database / Category: Case Based Discussion

Management of renal colic

Publication details

Bhaskar Ganai MRCS, MBChB, Michael Aitchison MD, MBChB
Foundation Years Journal, volume 1, issue 4, p.187 (123Doc Education, London, July 2007)

Abstract

A 66-year-old male presents to accident and emergency with a 4 hour history of left sided loin to groin pain. He has minimal dysuria or urgency. There is no frank haematuria. He is haemodynamically stable. Past medical history includes hypertension, treated with bendroflmethiazide and atenolol. He is a smoker of 20 cigarettes per day since his teens. Examination reveals mild tenderness on the left loin. The patient is writhing around the bed, unable to get comfortable.

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Authors

Bhaskar Ganai MRCS, MBChB

SHO in Urology
Gartnavel General Hospital, Glasgow, UK

Michael Aitchison MD, MBChB

Consultant Urological Surgeon
Gartnavel General Hospital, Glasgow, UK

References

1.  Reynard J, Brewster S, Biers S. Stone Disease. In Oxford Handbook of Urology. 2006; 349-398

2.  Thomas B, Hall J. Urolithiasis. Surgery 2005; 23: 129-133

3.  Katz SI, Saluja S, Brink JA et al. Radiation Dose Associated with Unenhanced CT for Suspected Renal Colic: Impact of Repetitive Studies. Am J Roentgenol 2006; 186: 1120-1124

4.  Parsons JK, Hergan LA, Sakamoto K et al. Effiacy of alpha-blockers for the treatment of ureteral stones. J Urol 2007; 177: 983-987

5.  Reynolds TM. Best Practice Chemical Pathology: Clinical investigation and management of nephrolithiasis. J Clin Path 2005; 58: 134-40.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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