Ultrasound or CT for Nephrolithiasis
An ultrasound-first strategy, especially for recurrent kidney stones, was a good way to reduce radiation exposure in patients presenting to the ED with renal colic.
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Testicular Torsion Salvage at 24 Hours?
Consider testicular torsion a surgical emergency even if it is past the usual 6-8 hour mark, which is traditionally taught as the outer limit of testicular viability. This study found that the testicle could still be salvaged over half the time from 13-24 hours from onset.
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Alpha-blockers Help Kidney Stones – Larger Meta-analysis
Pooling lots of studies, it looks like alpha blockers for larger kidney stones provide significant benefit with a low risk profile.
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Pyuria and Kidney Stones – What Does It Mean
Not all patients with a kidney stone and a few WBCs on UA/micro have infection, but the more WBCs, the greater the risk. Be sure to get a urine culture.
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Roller coaster therapy for kidney stones
Kidney stones passed better after roller coaster riding using this silicon model, though the roller-coaster-as-therapy option may be a lot to ask of a person with a kidney stone.
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Tamsulosin helps pass larger stones
Tamsulosin helps pass larger stones but is of no benefit for smaller (<5 mm) stones, according this this meta-analysis of 8 RCTs.