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  • Guideline On Management of Renal Colic Mar 12

    Transféré par

    Jenry Reyes Trispa
    9 vues2 pages
    This document provides guidelines for managing patients presenting to the emergency department with suspected renal colic. It recommends that patients without microscopic hematuria on urinalysis be referred to general surgery as renal colic is less likely. For other patients with hematuria, those under 60 years old or with a history of renal colic should be referred to urology. Patients over 60 presenting for the first time should get a non-contrast CT scan; if a stone is detected they are referred to urology, and if no stone they are discussed with general surgery to exclude renal colic. If CT is not possible, a KUB x-ray can be used instead following the same criteria.

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    Guideline on Management of Renal Colic Mar 12

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    This document provides guidelines for managing patients presenting to the emergency department with suspected renal colic. It recommends that patients without microscopic hematuria on urinalysis be referred to general surgery as renal colic is less likely. For other patients with hematuria, those under 60 years old or with a history of renal colic should be referred to urology. Patients over 60 presenting for the first time should get a non-contrast CT scan; if a stone is detected they are referred to urology, and if no stone they are discussed with general surgery to exclude renal colic. If CT is not possible, a KUB x-ray can be used instead following the same criteria.

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    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    9 vues2 pages

    Guideline On Management of Renal Colic Mar 12

    Transféré par

    Jenry Reyes Trispa
    This document provides guidelines for managing patients presenting to the emergency department with suspected renal colic. It recommends that patients without microscopic hematuria on urinalysis be referred to general surgery as renal colic is less likely. For other patients with hematuria, those under 60 years old or with a history of renal colic should be referred to urology. Patients over 60 presenting for the first time should get a non-contrast CT scan; if a stone is detected they are referred to urology, and if no stone they are discussed with general surgery to exclude renal colic. If CT is not possible, a KUB x-ray can be used instead following the same criteria.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 2

    Guidelines on the Management of Patients with Renal Colic

    DATE: FROM:

    15 March 2012 Mr C Dawson, Urology Lead Clinician

    DATE DUE FOR REVISION: END MARCH 2013 RE: MANAGEMENT OF PATIENTS WITH RENAL COLIC PRESENTING TO ACCIDENT AND EMERGENCY DEPARTMENT This guideline deals with the management of patients presenting to PCH Accident and Emergency Department with a presumed diagnosis of renal colic. The guideline is shown in the form of a flow chart in Appendix 1.
    1. If the patient does not have microscopic haematuria on routine urinalysis then the patient should be referred for a General Surgery for an opinion in these circumstances the diagnosis of renal colic is less likely 2. All other patients will therefore have microscopic haematuria 3. If the patient is under 60 years of age OR has had previous confirmed admissions for renal colic then please refer the patient to the On call Urology Team 4. If the patient is OVER 60 AND PRESENTS FOR THE FIRST TIME with a presumed diagnosis of renal colic then a NON CONTRAST CT (CT-KUB) should be requested a. If the CT shows a stone then refer the patient to Urology as in (3) b. If the CT does NOT show a stone then please discuss the patient with the General Surgical team as the diagnosis of renal colic has been excluded 5. IF a CT cannot be organised for any reason then request KUB x-ray and apply tests of 4(a) and 4(b) to KUB

    Yours sincerely Chris Dawson Mr C Dawson Consultant Urologist and Lead Clinician

    Renal Colic Guideline

    15/03/2012

    Appendix 1

    Renal Colic Guideline

    15/03/2012

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