Ureteric colic characterized by all EXCEPT:
Acute onset
Stillness of the patients
Responds to antispasmodics
Radiates to the groin
(Respond to antispasmodics) (1317-Baily &Love 24th) (1274-Baily & Love 25th)Ureteric colic -* The patient is usually in such agony that only parenteral opioids will give relief: (1025-CSDT 12th)* There is a pattern of severe exacerbation on a back ground of continuing pain* Radiates to the groin, penis, scrotum or labium as the stone progresses down to the ureter.* The severity of pain is not related to the size of the stone.* The pain is almost invariably associated with haematuria* There may be few physical signsManagement of small stones* Most small (< 5 mm) urinary calculi will pass spontaneously and can be conservatively* The presence of infection in an upper urinary tract obstruction by stone is dangerous and is an indication for surgical intervention even if the stone is small.
Kidney & Ureturs