Kidney Stone Emergency Medicine. You suspect a kidney stone. They ve been described as more painful than childbirth i can t confirm as i ve been fortunate enough to not had a kidney stone or given birth and are responsible for 1 million ed visits per year.
Ureteric colic is defined as episodic severe abdominal pain from sustained contraction of ureteric smooth muscle as a kidney stone passes down the ureter into the bladder 3. You suspect a kidney stone. After treating the patient s pain how will you proceed in confirming your diagnosis.
The spontaneous passage rate in 20 weeks was 312 out of 392 stones 98 in 0 2 mm 98 in 3 mm 81 in 4 mm 65 in 5 mm 33 in 6 mm and 9 in 6 5 mm wide stones 3 stone size appears to be relegated to an academic discussion with limited relevance to emergency medicine.
Classically kidney stones are diagnosed by abdominal ct scan. Ureteric colic is defined as episodic severe abdominal pain from sustained contraction of ureteric smooth muscle as a kidney stone passes down the ureter into the bladder 3. The spontaneous passage rate in 20 weeks was 312 out of 392 stones 98 in 0 2 mm 98 in 3 mm 81 in 4 mm 65 in 5 mm 33 in 6 mm and 9 in 6 5 mm wide stones 3 stone size appears to be relegated to an academic discussion with limited relevance to emergency medicine. A fever above 101 5 degrees fahrenheit.