Archive

Medical Category: Renal and Genitourinary

Urinary Retention: Rapid Drainage or Gradual Drainage to Avoid Complications?

Background: The treatment of urinary retention is pretty straightforward; place either a Foley catheter or suprapubic catheter to decompress the bladder.  What is less clear, and more often debated, is if we need to clamp the catheter after 200 – …

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Renal and Genitourinary

The AMACING Trial: Prehydration to Prevent Contrast Induced Nephropathy (CIN)?

Background: In patients with compromised renal function, the use of intravascular iodinated contrast material is generally not given to avoid contrast induced nephropathy (CIN). Currently, there is no treatment for contrast-induced nephropathy, therefore the focus has been on prevention. Guidelines …

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Allergy and ImmunologyRenal and Genitourinary

Contrast Induced Nephropathy (CIN): Fact or Myth?

Background: Use of contrast media in CT scans has been cited as one of the most common causes of iatrogenic acute kidney injury.  Its use however improves the diagnostic accuracy of CT scans.  Some studies have even reported an incidence …

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Allergy and ImmunologyRenal and Genitourinary

Alpha Blockers in Renal Colic: A Systematic Review

Background: Ureteric (renal) colic is a common, painful condition encountered in the Emergency Department (ED). Sustained contraction of smooth muscle in the ureter as a kidney stone passes the length of the ureter leads to pain. The majority of stones …

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Renal and Genitourinary

IV Lidocaine for Renal Colic: Another Opioid Sparing Option?

Background : For anyone who has taken care of a patient with renal colic, the agony they experience is indelible.  I have had several female patients even tell me that the pain is worse than child birth.  Treatment of renal colic …

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Renal and Genitourinary

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