Pitfalls
- Stone disease is relatively uncommon in childhood. It may present with haematuria without flank pain
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Although stones are seen in metabolic conditions such as oxalosis, the majority of stones are calcium based
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Infection must be detected in cases of complete obstruction (see standing column of contrast IVU here) and if hydronephrosis develops nephrostomy inserted urgently
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IVU has a lower sensitivity for detecting stones and does not assist in visualising alternative diagnoses
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Opiates appear to cause more side effects than NSAIDS, and NSAIDS appear as effective in pain relief as opiates
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Limited pyuria is commonly seen in association with ureteric colic
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1 in 10 cases renal colic do not have haematuria
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Succinct.