Acute Loin Pain Flashcards
1
Q
alternative diagnosis for loin pain (outside urinary tract)
A
AAA
2
Q
commonest cause of acute loin pain?
A
calculi
3
Q
what mediates pain in calculi?
A
prostaglandins
4
Q
management of acute loin pain
A
NSAIDs +/- opiates alpha blocker (tamsulosin) for small stones that are expected to pass
5
Q
when is calculi likely to require intervention
A
if it hasn’t passed in 1 month
6
Q
when should you treat calculi early?
A
pain unrelieved
pyrexia
persistent nausea and vomiting
7
Q
management of calculi
A
ureteric stent
stone removal
8
Q
management of infected hydronephrosis
A
percutaneous nephrostomy
