Einstein International Journal Organization(EIJO)

Abstract

Renal colic is a common presenting clinical problem in the emergency departments (ED). Aims the present investigation aimed to point out some data concerning renal colic in Palestine, and to evaluate the practical clinic approach to it. For this reason, all the renal colic cases treated in three month in the Hebron hospital ED have been reviewed to assess the data, diagnostic and treatment patterns, and to compare them with what is reported in the literature.

Method we use retrospective study by review of file of emergency department in three month of renal colic or urinary stone. 

Result  Renal colic or stone were diagnosed in three month  300 cases (1%)from all vaster of ED; 66 % of them were recurrent stone formers; the males 61% , female 39%, The age distribution, showed a higher rate from 25 to 44 years of age, Ultrasonography (US) was the examination in 72% cases, 99% lab test urine analysis. NSAIDs were always used (90%), association with Hyoscine butylbromide, narcotic as pethidin(10%). The data of our investigation are in a substantial agreement with the reported literature bout features of renal colic and its treatment. On the contrary, the diagnostic approach is mainly based on US and lab test. CT-scan was not used in ED .

Conclusion, the data of our investigation are in a substantial agreement with those reported in the literature as far as concerns of renal colic and its treatment. The diagnostic approach is mainly based on US whereas urine examination, most of patient given NSAIDs, and Hyoscine butylbromide and 10% given narcotic. In pale stain treated the renal colic as national guide. The most use diagnosis laboratory test urine analysis then US in ED.

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