Journal Club - Pain management of Renal Colic

Journal Club - Pain management of Renal Colic


Renal colic is a commonly encountered diagnosis in the emergency department that is known to cause significant pain. In clinical practice, the initial goal is prompt pain management while simultaneously working to confirm the suspected diagnosis. Because of the severity and acuity of the pain associated with renal colic, opioid pain management has often been used. Given the overall goal of reducing the use of opioid pain medications, emergency physicians have been working to identify alternative pain management strategies with agents such ketorolac and lidocaine. In this journal club, we examine the evidence in support of these treatment strategies.

Read More

Journal Club April 2018 - Nephrolithiasis

Journal Club April 2018 - Nephrolithiasis

April’s journal club looked at four clinical questions regarding the diagnosis and expectant course of renal stones. Can the STONE score help you determine if your patient’s flank pain is due to a renal stone? Which is better to confirm your clinical suspicion of a renal stone, ultrasound or CT? How likely will your patient’s kidney stone pass spontaneously? What is the accuracy of hematuria to predict a renal stone in the patient with flank pain?

Read More