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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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Kidney and Ureteral Stones.
1Department of Emergency Medicine, Jacobi Medical Center, Building 6, Room 1B25, 1400 Pelham Parkway South, Bronx, NY 10461, USA.
Emergency Medicine Clinics of North America
|September 30, 2019
Summary
Renal colic, often caused by kidney stones, affects many adults and frequently recurs. Most stones pass naturally, but some require medical or surgical intervention.
Area of Science:
- Nephrology
- Urology
- Emergency Medicine
Background:
- Renal colic is a frequent emergency department presentation.
- Kidney stones affect 13% of men and 7% of women, with a 50% recurrence rate within 5 years.
Purpose of the Study:
- To summarize the diagnosis and management of renal colic.
- To highlight the prevalence and recurrence of kidney stones.
Main Methods:
- Review of common diagnostic imaging: non-contrast CT abdomen/pelvis and renal ultrasound.
- Overview of initial treatment strategies: analgesics and medical expulsive therapy.
Main Results:
- Most patients (80%) pass kidney stones spontaneously within 3 days.
- 20% of patients with renal colic require urologic intervention.
Conclusions:
- Renal colic management involves prompt diagnosis and appropriate treatment.
- Understanding stone recurrence is crucial for patient management and prevention.
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