Handbook of On Call Urology. by Clavijo Eisele J.

Diagnosis and management of emergency care in Urology.

Handbook of on call urology.

Updated manual for diagnosis and management of Urology acute conditions. Practical illustrations. Concise design for bedside and frontline use.

Genre: MEDICAL / Urology

Language: English

Keywords:

Word Count: 38958

Sample text:

Kidney colic.

Definition.

Genito-urinary pain can be due to obstruction of hollow organs, inflammation, distention of the capsule (e.g., kidney, prostate) or infiltration of adjacent nerves. Acute obstruction to hollow structures leads to colicky pain which is very severe. Obstruction that develops over a prolonged period will lead to dull ache (e.g. obstruction due to malignant disease). The pain experienced is mainly due to the increase in smooth muscle contraction of the ureter trying to overcome the obstruction. Since this contraction occurs in waves the pain experienced is also in periods. This smooth muscle contraction is mediated by prostaglandins.

 

Aetiology.

Calculus

Blood clots

Necrosed papillae

Surgical (accidental) ligation of ureter


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