Managing acute renal colic across the primary-secondary care interface: a pathway of care based on evidence and consensus

摘要

There is uncertainty about the immediate management of patients presenting with acute renal colic in primary care, and whether this can be overcome by adopting a pre-established integrated pathway of care across the primary-secondary care interface Intramuscular diclofenac 75 mg is recommended as first line of treatment when the diagnosis is clear and there are no signs of complications If the severe pain does not remit within an hour the patient should be admitted to hospital All patients, whether managed at home or in hospital, should be offered fast track urological investigation with follow up Opaque radiography and ultrasound are being augmented by the use of spiral computed tomography in some centres in certain situations.