Analysis of demographic & clinical characteristics and management of patients presenting with ureteric colic in the emergency department
Journal Title: IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) - Year 2017, Vol 12, Issue 6
Abstract
Background:Ureteric colic is commonly diagnosed and treated in the emergency department [1] .It is a large worldwide [2]. It is caused by acute partial or complete ureteric obstruction due to a calculus in the vast majority of cases [3]. Many factors have been suggested to contribute to the occurrence of renal & ureteric stones, including diet, water hardness, geographical location, race, occupation, sex, and climatic conditions [7– 9] . Aim of the study:to evaluate the demographic , clinical characteristics and management of patients presented with ureteric colic per one year . Subjects & Methods:This study was carried out in the surgical emergency department of Baghdad Teaching Hospital of Medical City through one year ( from 01/12/2011 to 30/11/2012 ). Any patient older than 13 years of age presented to the surgical emergency department complaining of ureteric colic were evaluated by history , clinical examination & investigations diagnosed to have stone, may be renal &/or ureteral, will be included in the study. Age , sex , chief complaint , clinical details of history & examination . also the variables include the investigations & drugs given ,will be assessed . The study exclude any patient ≤ 13 years of age & the pregnant female patients , as these patients were usually received by the emergency department of the pediatric & gynecological emergency departments , respectively. The trauma patients of any age who presented with ureteric colic due to trauma also excluded because of their complaining of abdominal pain mostly related to trauma . Results: A total of 371 patients with ureteric colic & 264 patients diagnosed as urolithiasis were enrolled in this study . The results showed that the most common cause of ureteric colic was stone (71.16%) with males (75.38%) affected more than females (24.62%).The most common age period of presentation was (21-30) . Clinically most commonly the patients presented with loin pain (82.9%) , with mostly right side (49.25%).Ultrasound is the most investigation used (88.14%) , followed by general urine examination (78.17%) showing that crystals is the most common its finding (91.29%) .The best conservative management used is the combination of tramadol & diclofenac .Most patients discharged well after receiving management & getting improvement of their emergent condition with advice to be followed by a uro-surgery outpatient clinic , while (11.56%) need admission , mostly due to unresolved symptoms in spite of receiving good analgesic management . Conclusion: Urolithiasis is the most common cause of ureteric colic ,while other causes include musculoskeletal pain , pyelonephritis , bowel diseases , tumors , abscesses , pneumonia & others are less common .Males affected more than females .Twenty to thirty years of age is the most common age period of presentation .Increasing weather temperature associated with increasing presentation of ureteric colic patients .Loin pain is the most clinical presentation . Ultrasound is the most investigation used in our hospital .Tramadol & diclofenac is the best treatment used.
Authors and Affiliations
Dr. Layth Salim Hadi, Dr. Samir Ali Muter(FICMS), Dr. Fatin Farooq Salih, Dr. Salah M. Tajer F. I. C. M. S, Dr. Mohammed Bassil Ismail(CABMS)
Keywords
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- EP ID EP392188
- DOI 10.9790/3008-1206017688 .
- Views 65
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