flashcards_urinary_tract_calculi
What is the conservative management for urinary tract calculi?
Conservative management with IV fluids, analgesia (morphine), and anti-emetics (ondansetron).
What is the treatment for urinary tract calculi with bacterial infection?
Antibiotic treatment with co-trimoxazole or nitrofurantoin, or surgical decompression.
What is the management for small urinary tract stones?
Medical expulsive therapy; small stones may pass naturally.
What medication is used for medical expulsive therapy of distal ureteric stones <10mm?
Tamsulosin, alfuzosin, or silodosin.
When is surgical removal indicated for urinary tract calculi?
For larger stones and those that do not pass spontaneously, or renal colic with ongoing pain that is not tolerated.
What are the first-line surgical options for removing larger stones or stones that do not pass spontaneously?
Extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy.
What is recommended for all children affected by urinary tract calculi?
High fluid intake.
