Ureteric (renal) colic is a common, painful condition encountered in the Emergency Department (ED). Sustained contraction of smooth muscle in the ureter as a kidney stone passes the length of the ureter leads to pain.
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Thanks to Rory Spiegel for providing peer review for this post.
This post is cross-posted on REBEL EM.
Ureteric (renal) colic is a common,
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This post delves into the diagnosis and management of patients presenting with ureteral colic.
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Ureteric colic is a common cause of severe pain. Anecdotally, many patients describe it as “the worst pain” they’ve experienced. In the Emergency Department (ED) pain is typically treated with either a non-steroidal anti-inflammatory drugs (NSAIDs) or an opiate or a combination of both.
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Ureteric (renal) colic is a common, painful condition encountered in the Emergency Department (ED). Sustained contraction of smooth muscle in the ureter as a kidney stone passes the length of the ureter leads to pain.
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Abdominal CT is the most common initial imaging test ordered for suspected nephrolithiasis in the Emergency Department. This is largely due to its high sensitivity for the diagnosis of kidney stones and ability to assess for other high-risk diagnosis.
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