Renal Colic Flashcards
What is the criteria for conservative management of renal colic
Small stones likely to pass on their own (<1cm)
No infection
No renal impairment
Pain manageable with meds
Patient willing
Stone in the distal ureter
What is the medical management of renal colic
Tamsulosin (Medical expulsive therapy)
What is the criteria for medical expulsive therapy
<1cm stones
Stone in distal ureter
What is the gold standard management option for renal stone or colic
DJ stent
Percutaneous nephrostomy
What is the criteria for surgical intervention of renal colic
Sepsis
Renal dysfunction
Stone unlikely to pass on its own
Pain intractable
Patient willing
Discuss location of renal colic pain
Costrovertebral angle
Lateral for sacrospinalis muscle
Below 12th rib