MSRA: Renal Stones

Question 1

What is the analgesic of choice in renal stones?

Answer 1

IM Diclofenac

Question 2

What is the imaging investigation of choice in renal stones?

Answer 2

Non-contrast CT KUB

Question 3

What is the management of renal stones?

Answer 3

Less than 5mm - will pass spontaneously
More than 5mm - shockwave lithotripsy
If obstructive uropathy/infection for decompression and antibiotics

Question 4

What can we give to prevent recurrence of calcium renal stones?

Answer 4

Thiazide diuretics

Question 5

What is the role of alpha blockers in renal stones?

Answer 5

For example Tamsulosin
Relaxes the smooth muscle in the wall of the ureter, and may help the stone pass
Consider for distal stones less than 10mm