Articles: colic.
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Comparative Study Clinical Trial Controlled Clinical Trial
A comparison of the efficacy and safety of morphine and pethidine as analgesia for suspected renal colic in the emergency setting.
The aim of this study was to compare morphine and pethidine in patients with clinically suspected renal colic with regard to analgesic efficacy, patient satisfaction and side effects. ⋯ Because of the well known adverse effects that may be associated with pethidine use, the authors recommend that morphine should be the preferred agent in suspected renal colic, when an opioid analgesic is to be used.
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Comparative Study
Low-dose nonenhanced helical CT of renal colic: assessment of ureteric stone detection and measurement of effective dose equivalent.
To evaluate a low-dose, nonenhanced helical computed tomographic (CT) protocol in the detection of ureteric stones and measure the associated effective dose equivalent (H(E)) of radiation. ⋯ Our low-dose CT protocol is superior to IVU and clinically adequate for diagnosis of renal colic.
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A retrospective chart review was conducted of patients with acute renal colic for the years 1993 and 1997, in order to compare analgesia ordering and administration practices before and after implementation of a nurse-managed, titrated intravenous (i.v.) narcotic policy. The study demonstrated a significant and sustained change in analgesia administration practices away from the intramuscular (i.m.) route in favour of the i.v. route. For renal colic, in 1993, 76% of patients received i.m. narcotic analgesia compared to 3% in 1997. In contrast, i.v. narcotic (with or without adjuvant (NSAID) was used in 3% of the patients in 1993 compared to 95% in 1997.
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Review Case Reports
Ureteric obstruction by shotgun pellet "pellet colic".
Acute renal colic from retained missiles is an unusual and interesting delayed complication of missile injuries to the abdomen. It must be considered in patients who present with symptoms of renal colic following gunshot and shotgun wounds with retained missiles. We report a case of acute ureteral obstruction secondary to a migrating intraluminal projectile 3 days after a shotgun wound to the back.