[Summary of the practice guideline 'Urolithiasis' (first revision) from the Dutch College of General Practitioners].
The Dutch College of General Practitioners has revised the practice guideline 'Urolithiasis'. In the acute phase, violent colic pain is treated with diclophenac or morphine. In the post-acute phase, imaging diagnostics are performed. Initially this is ultrasound examination and, ifindicated, an x-ray of the abdomen and at a later stage, a CT scan. The recommendation to consider the use oftamsulosin in the post acute phase is new. This alpha-1 blocking agent can enhance expulsion of the stone and contribute to the relief of pain.
van Lieshout
J
J
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
van Koningsbruggen
P J W
PJ
Boukes
F S
FS
Goudswaard
A N
AN
D000701:Analgesics, Opioid / Q000627:therapeutic use; D004008:Diclofenac / Q000627:therapeutic use; D005194:Family Practice / Q000592:standards*; D006801:Humans; D009020:Morphine / Q000627:therapeutic use; D009426:Netherlands; D010146:Pain / Q000188:drug therapy / Q000209:etiology*; D010818:Practice Patterns, Physicians'; D011860:Radiography, Abdominal; D012955:Societies, Medical; D015898:Tomography Scanners, X-Ray Computed; D014463:Ultrasonography; D052878:Urolithiasis / Q000150:complications* / Q000175:diagnosis*
D000701:Analgesics, Opioid; D004008:Diclofenac; D009020:Morphine