Williams-Johnson, J. ; Aiken, William D.; Donald, Archibald H.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
A Reasoned Approach to the Management of Ureteric Colic in the Emergency Department
Date of Publication
Ureteric colic is a problem seen frequently in the emergency room. The presence of haematuria is thought to be corroborative of the disease. Early analgesic therapy is generally instituted. Patients are usually subjected to plain abdominal X-rays an in some cases a an emergency intravenous urogram. This article seeks to examine the evidence of influencring the emergency room management of ureteric colic with a view to recommending the most reliable form of analgesia and imaging modalities. In addition, the positive predictive value of haematuria is also assessed and a protocol for patient management is suggested.....