| Diagnosis and initial management of kidney stones. | |
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MedLine Citation:
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PMID: 11310648 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The diagnosis and initial management of urolithiasis have undergone considerable evolution in recent years. The application of noncontrast helical computed tomography (CT) in patients with suspected renal colic is one major advance. The superior sensitivity and specificity of helical CT allow urolithiasis to be diagnosed or excluded definitively and expeditiously without the potential harmful effects of contrast media. Initial management is based on three key concepts: (1) the recognition of urgent and emergency requirements for urologic consultation, (2) the provision of effective pain control using a combination of narcotics and nonsteroidal anti-inflammatory drugs in appropriate patients and (3) an understanding of the impact of stone location and size on natural history and definitive urologic management. These concepts are discussed with reference to contemporary literature, with the goal of providing tools that family physicians can use in the emergency department or clinic. |
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Authors:
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A J Portis; C P Sundaram |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American family physician Volume: 63 ISSN: 0002-838X ISO Abbreviation: Am Fam Physician Publication Date: 2001 Apr |
Date Detail:
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Created Date: 2001-04-19 Completed Date: 2001-05-17 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 1272646 Medline TA: Am Fam Physician Country: United States |
Other Details:
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Languages: eng Pagination: 1329-38 Citation Subset: AIM; IM |
Affiliation:
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Washington University School of Medicine, St Louis, Missouri 63110, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Analgesics / therapeutic use Diagnosis, Differential Humans Kidney Calculi / diagnosis*, epidemiology, therapy* Medical History Taking Prevalence Tomography, X-Ray Computed Urinalysis |
| Chemical | |
Reg. No./Substance:
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0/Analgesics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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