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Previous Volume 350:684-693 February 12, 2004 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 39-year-old man reports an eight-hour history of colicky pain in the right lower quadrant radiating to the tip of his penis. He had previously had a kidney stone, which passed spontaneously. Physical examination shows that he is in distress, is afebrile, and has tenderness of the right costovertebral angle and lower quadrant. Urinalysis shows microhematuria. Helical computed tomography (CT) of the . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

Management

            Urgent Intervention

            Pain and Nausea

            Spontaneous Passage of the Stone

            Uric Acid Stones

Areas of Uncertainty

Timing of Elective Intervention

Type of Intervention

Metabolic Evaluation and Prophylaxis

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Urology, University of British Columbia, and the Section of Urology, St. Paul's Hospital — both in Vancouver, B.C., Canada.

Related Letters:

Acute Renal Colic
Miller D. C., Wolf J.S. Jr., Teichman J. M.H.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:2422-2423, Jun 3, 2004. Correspondence

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