Background: The main goal of this study is to determine the relationship between opium dependency and frequency of urolithiasis renal colics. Methods: In a cross sectional study we compared opium dependency in urolithiasis patients (case group) with non-urolithiasis patients (control group) and assessed urolithiasis related renal colics as risk factor to opium dependency prevalence. Dependency ...

BACKGROUND/AIMS To assess the incidence of renal colic and the results of emergency management. METHODS During a 12 month period data of patients with symptoms of renal colic were collected. RESULTS A total of 495 visits were registered. The M/F was 2.19. Mean age was higher in males (45.5+/-13.0 vs 42.5+/-15.5 years, P=0.025). Three patients were hospitalised for immediate urinary diversio...

INTRODUCTION Although the synergistic effects of opioids and other analgesic drugs such as non-steroidal anti-inflammatory drugs (NSAIDs) have been established in relieving acute pain due to renal calculi, no studies today have evaluated the concomitant administration of opiates and other drugs with analgesic effects, such as serotonin re-uptake inhibitors. Considering the high prevalence of re...

Ureteric stones are a common cause of obstruction of the urinary tract, usually presenting with characteristic signs and symptoms, such as acute ureteric colic and hematuria. Occasionally, stones may present with non-specific symptoms such as low back pain and remain unidentified, leading to stone growth, chronic ureteric obstruction and complications such as hydronephrosis and renal damage. He...

Urethritis associated with urinary calculi is of rare occurrence. Harkness (1950) described cases of urethritis secondary to stones in the urethra, bladder, prostate and Cowper's glands. He also gave the history of a patient who developed acute non-specific urethritis, which was cured without active treatment when a renal stone was passed spontaneously after an attackofureteric colic. Since the...

SIR,-The article byMrCG Moran and colleagues (16 May, p 1279) acknowledges the difficulty of establishing the diagnosis of ruptured aortic aneurysm and highlights the trap of ureteric colic. Experience at Royal Perth Hospital supports this. This hospital's experience ofpatients with acute renal failure requiring dialysis after repair of abdominal aortic aneurysm has recently been examined. In 2...

INTRODUCTION Renal colic is commonly encountered in the emergency department (ED). We validated a fast track renal colic (FTRC) initiative to decrease patient waiting times and streamline patient flow. METHOD The FTRC pathway was devised according to the National Institute for Health and Care Excellence clinical summary criteria for the management of patients with suspected renal colic. ED tr...

BACKGROUND Point-of-Care Ultrasound (PoCUS) is recommended by emergency medicine societies for the detection of hydronephrosis. Training of certified Emergency Physicians (EP) without prior ultrasound experience remains debated. We investigate performance of a brief training session for the detection of hydronephrosis with PoCUS performed by EP without previous ultrasound experience. PATIENTS...

INTRODUCTION This study was designed to compare the analgesic efficacy of sublingual (SL) buprenorphine and intravenous (IV) ketorolac for renal colic pain relief. METHODS The present study was carried out as a double-blind, double-dummy randomized clinical trial in patients diagnosed with acute renal colic attending the emergency department. The study subjects were 63 patients with confirmed...