| Renal colic: new concepts related to pathophysiology, diagnosis and treatment. | |
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MedLine Citation:
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PMID: 12072644 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: To give new insights into the pathophysiology, diagnosis and treatment of acute renal colic caused by a stone disease. RECENT FINDINGS: Traditional intravenous pyelography is no longer the primary method of investigation in patients with renal colic. If the patient has a history of previous attacks of renal colic and stone disease the recommended diagnostic approach is to start with plain abdominal radiography and ultrasonography together with Doppler ultrasonography. Noncontrast computerized tomography is reserved for unsolved problems. If the patient has no history of stone disease or has atypical clinical presentation it is better to start with noncontrast computerized tomography. Intravenous pyelography is indispensable if an endoscopic or open intervention is required. Magnetic resonance imaging is a promising method of investigation, particularly in pregnant women. Effective pain relief is achieved by the use of opioids, nonsteroidal antiinflammatory drugs or desmopressin. SUMMARY: The diagnostic approach to renal colic has recently been changed due to the introduction of new, noninvasive radiologic procedures such as Doppler ultrasonography, noncontrast computerized tomography and magnetic resonance imaging. |
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Authors:
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Ahmed A Shokeir |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in urology Volume: 12 ISSN: 0963-0643 ISO Abbreviation: Curr Opin Urol Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-06-19 Completed Date: 2002-08-28 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9200621 Medline TA: Curr Opin Urol Country: United States |
Other Details:
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Languages: eng Pagination: 263-9 Citation Subset: IM |
Affiliation:
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Urology and Nephrology Center, Mansoura University, Mansoura, Egypt. ahmedshokeir@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents, Non-Steroidal
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therapeutic use Colic / diagnosis*, etiology, physiopathology, therapy, ultrasonography Female Humans Kidney / ultrasonography Kidney Calculi / complications Kidney Diseases / diagnosis*, etiology, physiopathology, therapy, ultrasonography Magnetic Resonance Imaging Pregnancy Pregnancy Complications / therapy |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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