Acute renal colic is the severe acute flank pain resulting from the presence of an obstructing stone in the urinary system. The stone can be present anywhere along the path between the kidneys and the bladder. Ureteral calculi are the primary cause of acute renal colic. Underlying causes of urolithiasis include aciduria, inadequate urinary volumes, urinary infection, hypercalciuria, hyperoxaluria, hyperuricosuria, and hypocitraturia. The initial evaluation of a patient who presents with symptoms suggestive of acute renal colic includes laboratory testing, urinalysis, urine culture (if indicated), and appropriate imaging studies, including ultrasonography with resistive index, KUB, and unenhanced CT scans. Many ureteral stones will pass spontaneously, but some will need elective surgical intervention. Such procedures include extracorporeal shockwave lithotripsy (ESWL), cystoscopy with double J stenting, and ureteroscopy. Some clinical situations may require urgent surgical intervention, such as sepsis from obstructive pyelonephritis (pyonephrosis), where the infected renal pelvis needs to be drained emergently. This activity reviews the evaluation and management of acute renal colic due to ureterolithiasis and highlights the role of the interprofessional team in caring for patients affected by this condition.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/17168
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: IPCE Credits: 1.5 hours
AMA PRA Category 1 Credit™️: 1.5 hours
Nursing: 1.5 hours
Pharmacy: 1.5 hours - MOC Credit Details: ABS - 1.5 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.5 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.5 Point; Credit Type(s): Lifelong Learning (ABA)
ABIM - 1.5 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.5 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.5 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Adolescent Medicine, Chemical Pathology, Clinical Pathology, General Pediatrics, General Surgery, Hospital Medicine, Internal Medicine, Nephrology, Pediatric Critical Care Medicine, Pediatric Emergency Medicine, Pediatric Nephrology, Regional Anesthesia/Acute Pain, Renal/Medical Renal