Renal Colic
Colic
Urolithiasis
Urinary Calculi
Ureteral Calculi
Meperidine
Ureteral Obstruction
Kidney Calculi
Emergencies
Aorto-caval fistula clinically presenting as left renal colic. Findings of multislice computed tomography. (1/18)
Spontaneous aorto-caval fistula is a rare complication of abdominal aortic aneurysm. A definitive diagnosis is sometimes difficult, as the classic diagnostic signs (pulsatile abdominal mass with bruit, high-output hearth failure, and acute dyspnea) are present in about half of the patients. Diagnosis may be suspected from clinical symptoms, but sometimes atypical clinical features may obscure the actual situation. Computed tomography findings include early detection of contrast medium in the dilated inferior vena cava, which is isodense with the adjacent aorta, an associated aortic aneurysm, loss of normal anatomic space between aorta and vena cava, and rarely one can even visualize the abnormal communication between aorta and vena cava. Prompt radiological diagnosis is of key importance in the management of these patients. We describe findings of multislice computed tomography of the patient with dissecting aortic aneurysm and aortocaval fistula, clinically presenting as left renal colic. Multislice computed tomography is the imaging modality of choice for diagnosis of abdominal vascular pathology as it is noninvasive, fast and demonstrates a high diagnostic accuracy. (+info)A comparison of analgesic management for emergency department patients with sickle cell disease and renal colic. (2/18)
(+info)Reducing inappropriate diagnostic practice through education and decision support. (3/18)
(+info)The role of B-mode ultrasonography in the detection of urolithiasis in patients with acute renal colic. (4/18)
This study was conducted to assess the diagnostic yield of B-Mode Ultrasonography compared to unenhanced helical CT scan in detecting urinary stones in patients with acute renal colic. This retrospective study comprised of 156 patients who underwent unenhanced urinary tract CT scan and ultrasonography for suspicion of urolithiasis. Both techniques were used to determine the presence or absence, site, size, and number of urinary stones, as well as presence of any other intra-abdominal pathology. For statistical analysis, the sensitivity, specificity, predictive values, and diagnostic accuracy of ultrasonography were measured considering unenhanced CT scan as a gold standard. Unpaired two-tailed student's t-test was used for comparison between mean size of true positive, false positive, and false negative stones. There were 68 patients having 115 urinary stones. Ultrasound identified 54 stones, missed 43, and falsely diagnosed 18 stones. The mean size of true positive, false positive, and false negative stones were 4.8 +/- 3.3 mm, 6 +/- 1.8 mm and 4.18 +/- 3 mm, respectively. There were 23 patients with other intra-abdominal pathologies, equally detected by both techniques. Ultrasound helped in identifying the cause of acute flank pain in 62% of cases. The overall sensitivity, specificity, positive and negative predictive values, and accuracy of ultrasonography in the diagnosis of renal stone disease were 58%, 91%, 79%, 78%, and 78%, respectively. Our study suggests that, despite its limited value in detecting urinary stones, ultrasonography should be performed as an initial assessment in patients with acute flank pain. Unenhanced helical CT should be reserved for patients in whom ultrasonography is inconclusive. (+info)The utility of renal ultrasonography in the diagnosis of renal colic in emergency department patients. (5/18)
OBJECTIVE: Computed tomography (CT) is an imaging modality used to detect renal stones. However, there is concern about the lifetime cumulative radiation exposure attributed to CT. Ultrasonography (US) has been used to diagnose urolithiasis, thereby avoiding radiation exposure. The objective of this study was to determine the ability of US to identify renal colic patients with a low risk of requiring urologic intervention within 90 days of their initial emergency department (ED) visit. METHODS: We completed a retrospective medical record review for all adult patients who underwent ED-ordered renal US for suspected urolithiasis over a 1-year period. Independent, double data extraction was performed for all imaging reports and US results were categorized as "normal," "suggestive of ureterolithiasis," "ureteric stone seen" or "disease unrelated to urolithiasis." Charts were reviewed to determine how many patients underwent subsequent CT and urologic intervention. RESULTS: Of the 817 renal US procedures ordered for suspected urolithiasis during the study period, the results of 352 (43.2%) were classified as normal, and only 2 (0.6%) of these patients required urologic intervention. The results of 177 (21.7%) renal US procedures were suggestive of ureterolithiasis. Of these, 12 (6.8%) patients required urologic intervention. Of the 241 (29.5%) patients who had a ureteric stone seen on US, 15 (6.2%) required urologic intervention. The rate of urologic intervention was significantly lower in those with normal results on US (p < 0.001) than in those with abnormal results on US. CONCLUSION: A normal result on renal US predicts a low likelihood for urologic intervention within 90 days for adult ED patients with suspected urolithiasis. (+info)Comparison of intranasal desmopressin and intramuscular tramadol versus pethidine in patients with renal colic. (6/18)
PURPOSE: To study the safety and efficacy of intranasal desmopressin and intramuscular tramadol versus pethidine for treatment of renal colic. MATERIALS AND METHODS: A total of 90 adult patients who presented with renal colic to the emergency wards were recruited in this study. The patients were randomly assigned to receive 100 mg intramuscular tramadol, 40micro g intranasal desmopressin, or 40micro g intranasal desmopressin plus 100 mg intramuscular tramadol. The severity of the pain was assessed using Visual Analogue Scale. RESULTS: The studied patients consisted of 49 men and 41 women with the mean age of 35.20 +/- 13.26 years (range, 16 to 82 years). There was no statistically significant difference regarding the mean age (F [2, 89] = 2.98, P = .056) and gender differences (X2 = 3.3, df = 2, P = .19) in three groups. There was also no statistically significant difference considering pain relief in 3 studied groups (P = .2). CONCLUSION: We concluded that narcotics such as pethidine cannot be replaced by tramadol in patients with renal colic, but tramadol, desmopressin, or both in combination can reduce pethidine requirement. (+info)Diagnostic value of renal resistive index for the assessment of renal colic. (7/18)
INTRODUCTION: The aim of this study was to investigate the value of renal resistive index (RI) for the assessment of renal colic and to determine whether it is predictive of renal stone disease. METHODS: A total of 70 participants were included in the research study. Group 1 comprised 43 patients with acute unilateral ureteral obstruction due to a stone disease (G1), while Group 2 consisted of seven patients with flank pain without stone disease (G2) and the control group comprised 20 healthy individuals with two normal kidneys (G3). Urinalysis, abdominal plain film radiography, conventional ultrasonography (US) and colour Doppler US were performed in all three groups. RI was calculated for all patients using Doppler US. The RI values in G1 were then compared with those in G2 and the control group. RESULTS: There were statistically significant differences in the RI between the stone-positive group and stone-free groups (0.71 +/- 0.07 for G1; 0.69 +/- 0.06 for G2; 0.62 +/- 0.03 for G3, p-value < 0.05). CONCLUSION: RI measurement using Doppler US can be effectively used for the assessment of renal colic patients by non-invasive means. (+info)Should excretory urography be used as a routine diagnostic procedure in patients with acute ureteric colic: a single center study. (8/18)
The aim of this study was to find an accurate, easily available and safe imaging modality as an alternative to intravenous urography for the diagnosis of acute urinary obstruction. This retrospective study included 332 patients, who underwent both excretory urography (EU) preceeded by plain radiograph as well as ultrasonography for evaluation of acute flank pain. There were 198 male and 134 female patients. The presence or absence of urinary stones, level of obstruction, excretion delay on EU and dilated excretory system on either or both techniques were recorded. The sensitivity, specificity, predictive values, and accuracy for plain radiograph, ultrasonography, and for both modalities together were measured considering EU as a standard reference. The sensitivity and specificity of combined plain radiograph and ultrasound were 97% and 67%, respectively, with positive and negative predictive values and accuracy rates of 92%, 99%, and 97%, respectively. Our study suggests that the combination of plain radiograph and ultrasonography yields a high sensitivity, negative predictive value, and accuracy in depiction of urinary stones. Thus, EU need not be used as a routine diagnostic procedure in patients with acute obstructive uropathy. (+info)Renal colic is a type of abdominal pain that occurs due to the presence of a kidney stone or other obstruction in the urinary tract. It is typically described as a severe, cramping pain that radiates from the lower back or flank area down to the groin or genitals. The pain may be accompanied by nausea, vomiting, sweating, and frequent urination. Renal colic is caused by the contraction of smooth muscles in the ureter as they attempt to move the stone or obstruction out of the body. This can cause significant discomfort and often requires medical treatment to alleviate the pain and remove the obstruction.
Colic is a term used to describe excessive, frequent crying or fussiness in a healthy infant, often lasting several hours a day and occurring several days a week. Although the exact cause of colic is unknown, it may be related to digestive issues, such as gas or indigestion. The medical community defines colic by the "Rule of Three": crying for more than three hours per day, for more than three days per week, and for longer than three weeks in an infant who is well-fed and otherwise healthy. It typically begins within the first few weeks of life and improves on its own, usually by age 3-4 months. While colic can be distressing for parents and caregivers, it does not cause any long-term harm to the child.
Urolithiasis is the formation of stones (calculi) in the urinary system, which includes the kidneys, ureters, bladder, and urethra. These stones can be composed of various substances such as calcium oxalate, calcium phosphate, uric acid, or struvite. The presence of urolithiasis can cause symptoms like severe pain in the back or side, nausea, vomiting, fever, and blood in the urine. The condition can be managed with medications, increased fluid intake, and in some cases, surgical intervention may be required to remove the stones.
Flank pain is defined as discomfort or pain located in the area of the body between the lower ribcage and the pelvis, specifically in the region of the abdomen that lies posterior to the axillary line (the line drawn from the underarm down the side of the body). This region contains several vital organs such as the kidneys, ureters, pancreas, colon, and parts of the reproductive system. Flank pain can be a symptom of various medical conditions affecting these organs, including but not limited to kidney stones, pyelonephritis (kidney infection), musculoskeletal issues, or irritable bowel syndrome. The intensity and character of flank pain may vary depending on the underlying cause, ranging from a dull ache to sharp stabbing sensations.
Urinary calculi, also known as kidney stones or nephrolithiasis, are hard deposits made of minerals and salts that form inside the urinary system. These calculi can develop in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra.
The formation of urinary calculi typically occurs when there is a concentration of certain substances, such as calcium, oxalate, uric acid, or struvite, in the urine. When these substances become highly concentrated, they can crystallize and form small seeds that gradually grow into larger stones over time.
The size of urinary calculi can vary from tiny, sand-like particles to large stones that can fill the entire renal pelvis. The symptoms associated with urinary calculi depend on the stone's size, location, and whether it is causing a blockage in the urinary tract. Common symptoms include severe pain in the flank, lower abdomen, or groin; nausea and vomiting; blood in the urine (hematuria); fever and chills; and frequent urge to urinate or painful urination.
Treatment for urinary calculi depends on the size and location of the stone, as well as the severity of symptoms. Small stones may pass spontaneously with increased fluid intake and pain management. Larger stones may require medical intervention, such as extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, or percutaneous nephrolithotomy (PCNL) to break up or remove the stone. Preventive measures include maintaining adequate hydration, modifying dietary habits, and taking medications to reduce the risk of stone formation.
Ureterolithiasis is a medical condition characterized by the presence or formation of a stone (calculus) in the ureter, which is the tube that carries urine from the kidney to the bladder. The stone can cause obstruction and/or irritation leading to symptoms such as severe pain, hematuria (blood in the urine), nausea, vomiting, and changes in urinary frequency or urgency. Ureterolithiasis is also known as ureteral stones or ureteric colic.
Urography is a medical imaging technique used to examine the urinary system, which includes the kidneys, ureters, and bladder. It involves the use of a contrast material that is injected into a vein or given orally, which then travels through the bloodstream to the kidneys and gets excreted in the urine. This allows the radiologist to visualize the structures and any abnormalities such as tumors, stones, or blockages. There are different types of urography, including intravenous urography (IVU), CT urography, and retrograde urography.
Ureteral calculi, also known as ureteric stones or ureteral stones, refer to the presence of solid mineral deposits (calculi) within the ureters, the tubes that transport urine from the kidneys to the bladder. These calculi can vary in size and composition, and their formation is often associated with conditions such as dehydration, urinary tract infections, or metabolic disorders. Ureteral calculi may cause symptoms like severe pain, hematuria (blood in the urine), and obstruction of urine flow, potentially leading to serious complications if left untreated.
I'm sorry for any confusion, but "Holidays" is a term that generally refers to days of celebration or observance that are often recognized by society, cultures, or religions. It does not have a specific medical definition. If you have any medical concerns or questions, I would be happy to try and help answer those for you.
Meperidine is a synthetic opioid analgesic (pain reliever) that works by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals. It is also known by its brand name Demerol and is used to treat moderate to severe pain. Meperidine has a rapid onset of action and its effects typically last for 2-4 hours.
Meperidine can cause various side effects such as dizziness, sedation, nausea, vomiting, sweating, and respiratory depression (slowed breathing). It also has a risk of abuse and physical dependence, so it is classified as a Schedule II controlled substance in the United States.
Meperidine should be used with caution and under the supervision of a healthcare provider due to its potential for serious side effects and addiction. It may not be suitable for people with certain medical conditions or those who are taking other medications that can interact with meperidine.
Ureteral obstruction is a medical condition characterized by the partial or complete blockage of the ureter, which is the tube that carries urine from the kidney to the bladder. This blockage can be caused by various factors such as kidney stones, tumors, blood clots, or scar tissue, leading to a backup of urine in the kidney (hydronephrosis). Ureteral obstruction can cause pain, infection, and potential kidney damage if not treated promptly.
Kidney calculi, also known as kidney stones, are hard deposits made of minerals and salts that form inside your kidneys. They can range in size from a grain of sand to a golf ball. When they're small enough, they can be passed through your urine without causing too much discomfort. However, larger stones may block the flow of urine, causing severe pain and potentially leading to serious complications such as urinary tract infections or kidney damage if left untreated.
The formation of kidney calculi is often associated with factors like dehydration, high levels of certain minerals in your urine, family history, obesity, and certain medical conditions such as gout or inflammatory bowel disease. Symptoms of kidney stones typically include severe pain in the back, side, lower abdomen, or groin; nausea and vomiting; fever and chills if an infection is present; and blood in the urine. Treatment options depend on the size and location of the stone but may include medications to help pass the stone, shock wave lithotripsy to break up the stone, or surgical removal of the stone in severe cases.
Kidney disease, also known as nephropathy or renal disease, refers to any functional or structural damage to the kidneys that impairs their ability to filter blood, regulate electrolytes, produce hormones, and maintain fluid balance. This damage can result from a wide range of causes, including diabetes, hypertension, glomerulonephritis, polycystic kidney disease, lupus, infections, drugs, toxins, and congenital or inherited disorders.
Depending on the severity and progression of the kidney damage, kidney diseases can be classified into two main categories: acute kidney injury (AKI) and chronic kidney disease (CKD). AKI is a sudden and often reversible loss of kidney function that occurs over hours to days, while CKD is a progressive and irreversible decline in kidney function that develops over months or years.
Symptoms of kidney diseases may include edema, proteinuria, hematuria, hypertension, electrolyte imbalances, metabolic acidosis, anemia, and decreased urine output. Treatment options depend on the underlying cause and severity of the disease and may include medications, dietary modifications, dialysis, or kidney transplantation.
An emergency is a sudden, unexpected situation that requires immediate medical attention to prevent serious harm, permanent disability, or death. Emergencies can include severe injuries, trauma, cardiac arrest, stroke, difficulty breathing, severe allergic reactions, and other life-threatening conditions. In such situations, prompt medical intervention is necessary to stabilize the patient's condition, diagnose the underlying problem, and provide appropriate treatment.
Emergency medical services (EMS) are responsible for providing emergency care to patients outside of a hospital setting, such as in the home, workplace, or public place. EMS personnel include emergency medical technicians (EMTs), paramedics, and other first responders who are trained to assess a patient's condition, provide basic life support, and transport the patient to a hospital for further treatment.
In a hospital setting, an emergency department (ED) is a specialized unit that provides immediate care to patients with acute illnesses or injuries. ED staff includes physicians, nurses, and other healthcare professionals who are trained to handle a wide range of medical emergencies. The ED is equipped with advanced medical technology and resources to provide prompt diagnosis and treatment for critically ill or injured patients.
Overall, the goal of emergency medical care is to stabilize the patient's condition, prevent further harm, and provide timely and effective treatment to improve outcomes and save lives.
Fecal impaction is a medical condition where a large mass of dry, hard stool becomes stuck in the rectum and cannot be expelled from the body. This can occur due to chronic constipation or other factors that affect normal bowel movements. Fecal impaction can cause symptoms such as abdominal pain, bloating, nausea, vomiting, and difficulty having a bowel movement. In some cases, it may also lead to more serious complications, such as bowel obstruction or perforation. Treatment typically involves using medications to soften the stool and manual removal of the impaction by a healthcare professional.
I understand you are asking for a medical definition of "Horse Diseases." However, it's important to note that there isn't a specific medical field dedicated to horse diseases as we typically categorize medical fields by human diseases and conditions. Veterinary medicine is the field responsible for studying, diagnosing, and treating diseases in animals, including horses.
Here's a general definition of 'Horse Diseases':
Horse diseases are health issues or medical conditions that affect equine species, particularly horses. These diseases can be caused by various factors such as bacterial, viral, fungal, or parasitic infections; genetic predispositions; environmental factors; and metabolic disorders. Examples of horse diseases include Strangles (Streptococcus equi), Equine Influenza, Equine Herpesvirus, West Nile Virus, Rabies, Potomac Horse Fever, Lyme Disease, and internal or external parasites like worms and ticks. Additionally, horses can suffer from musculoskeletal disorders such as arthritis, laminitis, and various injuries. Regular veterinary care, preventative measures, and proper management are crucial for maintaining horse health and preventing diseases.