Ureteric colic characterized by all EXCEPT:
(Respond to antispasmodics) (1317-Baily &Love 24th) (1274-Baily & Love 25th)Ureteric colic -* The patient is usually in such agony that only parenteral opioids will give relief: (1025-CSDT 12th)* There is a pattern of severe exacerbation on a back ground of continuing pain* Radiates to the groin, penis, scrotum or labium as the stone progresses down to the ureter.* The severity of pain is not related to the size of the stone.* The pain is almost invariably associated with haematuria* There may be few physical signsManagement of small stones* Most small (< 5 mm) urinary calculi will pass spontaneously and can be conservatively* The presence of infection in an upper urinary tract obstruction by stone is dangerous and is an indication for surgical intervention even if the stone is small.
Acute onset
Stillness of the patients
Responds to antispasmodics
Radiates to the groin
Kidney & Ureturs