Stones: Evaluation and Medical Management: Difference between revisions
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== Acute Diagnosis and Management == | == Acute Diagnosis and Management == | ||
* Diagnosis and Evaluation | * '''Diagnosis and Evaluation''' | ||
**History and Physical Exam | **'''History and Physical Exam''' | ||
*** History | *** History | ||
**** New-onset urgency and frequency may indicate a stone at the UVJ irritating the bladder | **** New-onset urgency and frequency may indicate a stone at the UVJ irritating the bladder | ||
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**** Abdomen | **** Abdomen | ||
**** Costovertebral angle tenderness | **** Costovertebral angle tenderness | ||
*Management | **'''Labs''' | ||
***'''Urinalysis +/- culture''' | |||
***'''CBC''' | |||
***'''Serum creatinine''' | |||
**'''Imaging''' | |||
*'''Management''' | |||
**Renal colic pain management[https://smhs.gwu.edu/urgentmatters/content/alternatives-opioids-pain-management-ed] | **Renal colic pain management[https://smhs.gwu.edu/urgentmatters/content/alternatives-opioids-pain-management-ed] | ||
*** Toradol 30 mg IV | *** Toradol 30 mg IV | ||