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Ureteral Colic

Mike Weinstock, MD and Mizuho Morrison, DO
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No me gusta!

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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.

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Jason K. -

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 -

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.

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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

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