Episode Chapters
- Ureteral Colic17:22Asymptomatic HypertensionFree Chapter17:29Paper Chase #1 | iPhone Otoscopy Outperforms Traditional Otoscope5:15Sacral PainFree Chapter18:50SVC Syndrome17:11Paper Chase #2 | Acetaminophen Prevents Recurrence Of Febrile Seizure3:38What Would I Do Next? | Pancreatitis20:47Fast Track Pearls20:09Paper Chase #3 | Don’t Give Opioids For Ankle Sprains!5:39Child Abuse18:34DOAC Reversal20:27Hyperkalemia16:01Paper Chase #4 | Risk Of Biphasic Anaphylactic Reactions Is Low3:49Excellence in the Physical Exam Series: Alcoholics11:46Paper Chase #5 | Don’t Miss Pediatric Anaphylaxis4:46The Summary13:02
Miz and Mike discuss the variables around ureteral/renal stone management. Size and location of stone and % change of spontaneous passage; lab workup that is warranted (if any) and medical expulsion therapy updates.
No...You Aren't Gonna Die! Full episode audio for MD edition 226:23 min - 106 MB - M4AUC RAP February 2019 Written Summary 353 KB - PDF
Jason K. - April 11, 2019 12:45 PM
The summary doesn't answer it's own question! The question of who to give expulsion therapy to if you DON'T know the size. The answer states that it may help over 5 mm. Is there any way to know who to give it to without CT imaging/known size?
Mike W., MD - April 11, 2019 2:59 PM
This is the crux... if you don't know the size and are diagnosing clinically, there is really not good guidance on using tamsulosin. With the low risk of side effects, probably better to err on the side of giving, but again, no absolute and definitive recommendations.