Ureteric Calculus with ureteric colic

Chief Complaints 
c/o severe pain in right illac fossa or left illiac fossa radiating to back with vomiting,nausea and fever.
Burning micturition / Dysuria / Hemaruria

Treatment Protocol

Inj BUSCOPAN 1amp IV/IM STAT
or
Inj TRAMADOL 50mg or 100mg IV/IM STAT
or 
Inj DICLOFENAC 75mg IM STAT (In Younger Patients and avoid in Renal impairment and high BP)

Tab HYOCIMAX MF 1-1-1 x 7 days
Tab DOSIN 8mg 0-0-1 x 7 days
Tab LASIX 40mg 1-0-0 x 7 days
Plenty of fluids orally
To come after 7 days with repeat USG reports.

Tab CYSTONE 1-1-1 x 7 days can be given and also can be given for one month as a preventive measure.

Needs surgery (URSL+DJS) for ureteric calculus of size of more than 9-10mm.

Dietary Recommendations

Comments

Post a Comment

Popular posts from this blog

Azithromycin - All you need to know for general practice

Image
  Azithromycin It belongs to a group of antibiotics called Macrolides. They end up with suffix -thromycin like erythromycin, clarithromycin, etc. It inhibits protien synthesis. Acts on both gram positive and gram negative bacteria. Also very helpful in atypical bacteria. PROPERTIES Bacteriostatic. Bacteriocidal if given in higher concentrations. Also has anti inflammatory properties - good in reccurrent COPDs Excreted mostly from liver and only 12% from kidney. So it should be avoided  in impaired liver functions and can be given in impaired kidney functions (No need to alter dosage in impaired renal functions) INDICATIONS Upper respiratory tract infections like Pharyngitis/ Laryngitis/ Tonsilitis/ Sinusitis Good for Atypical Pneumonia Skin Infections by Staph Middle ear infections Vaginitis/Urethritis in pregnancy ( Because Aminoglycosides cannot be used in pregnancy) STD like Chlamydia/Gonorrhea Preffered in Enteric Fever. DOSAGES Pediatric dose 10mg/kg on Day 1...
Read more

Paracetamol : ORAL and IV dosages in paediatrics and adults

Oral route 15mg/kg every 4 hours upto maximum of 1gm and not to exceed 4gm/day or 4gm/24hrs suspension Dosage Child under 1 month: 10 mg/kg 3 or 4 times daily (max. 40 mg/kg daily)  Child 1 month and over: 15 mg/kg 3 or 4 times daily (max. 60 mg/kg daily) Adult: 1 g 3 or 4 times daily (max. 4 g daily)   Age Weight 120 mg/5 ml susp. 100 mg tablet 500 mg tablet < 1 month < 4 kg 1.5 ml x 3 − − 1 to < 3 months 4 to < 6 kg 2.5 ml x 3 ½  tab x 3 − 3 months to < 1 year 6 to < 10 kg 4 ml x 3 1 tab x 3 − 1 to < 3 years 10 to < 15 kg 6 ml x 3 1 ½  tab x 3 − 3 to < 5 years 15 to < 20 kg 8 ml x 3 2 tab x 3 − 5 to < 9 years 20 to < 30 kg 12 ml x 3 3 tab x 3 − 9 to < 14 years 30 to < 50 kg – – 1 tab x 3 ≥ 14 years and adult ≥ 50 kg – – 2 tab x 3 Intravenous route Forms and strengths, route of administration 500 mg (10 mg/ml, 50 ml) and 1 g (10 mg/ml, 100 ml) vials, for infusion Dosage Neonate : 7.5 mg/kg (0.75 ml/kg) e...
Read more

A Comprehensive Guide to Managing Kidney Stones with Ayurveda and Modern Medicine

Image
Kidney stones, also known as nephrolithiasis, are hard deposits made of minerals and salts that form inside the kidneys. They can cause severe pain and complications if not managed properly. In this guide, we will explore both modern and Ayurvedic approaches to treating and preventing kidney stones, providing you with a holistic perspective on managing this condition. Understanding Kidney Stones Causes of Kidney Stones Kidney stones form when minerals in the urine crystallize and stick together. Several factors can increase the risk of developing stones: 1. Dehydration : Insufficient water intake can lead to concentrated urine, making it easier for minerals to crystallize. 2. Diet : High intake of oxalate-rich foods (e.g., spinach, beets, nuts), high protein consumption, excessive salt, and sugar can contribute to stone formation. 3. Genetics : Family history of kidney stones can increase the likelihood of developing them. 4. Medical Conditions : Conditions like gout, hyper...
Read more