Acute treatment-nephrolithiasis
(JAMA 2020;323:1961)
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Analgesia (narcotics ± NSAIDs; combination superior, Ann Emerg Med 2006;48:173), ensure adequate fluid repletion, antibiotics if UTI
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α-blocker >CCB to pass stone if ≤10 mm (Cochrane; 2014:CD008509, Lancet 2006;368:1171)
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Indications for immediate urologic eval and/or hosp: obstruction (esp. solitary or transplant kidney), urosepsis, intractable pain or vomiting, significant AKI
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Urologic Rx: lithotripsy (NEJM 2012:367:50), ureteroscopic removal, lap/perc nephrolithotomy