Urolithiasis and alpha blockers
Warren is a 58 year old man who presents with Right loin pain overnight. You suspect renal colic. His pain is significant, but not extreme, and he is keen to avoid ED if possible. How do you manage this in general practice? What is the best imaging? What Red Flags should you consider? What is the latest evidence for expediting recovery in the outpatient setting?
The prevalence of kidney stones is increasing and the nephrolithiasis is now recognised as a chronic and systemic condition. There are new evidence-based guidelines for the management of both acute renal stones and recurrent disease.
Watch this short video for an update on the evidence for 'medical expulsive therapy' using alpha blockers. You can also download our Keep it Simple Summary on Urolithiasis here.
Join us for Hot Topics 2019 to get even more evidence updates!
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Stephen is a GP Supervisor, Medical Educator, GP academic and Medical Director of Medcast. He has completed a PhD on Virtual Communities of Practice in GP Training.
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