title: [Summary of the practice guideline 'Urolithiasis' (first revision) from the Dutch College of General Practitioners].
abstract: 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.
authors.affiliation: Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
authors.forename: J
authors.initials: J
authors.lastname: van Lieshout
authors.forename: P J W
authors.initials: PJ
authors.lastname: van Koningsbruggen
authors.forename: F S
authors.initials: FS
authors.lastname: Boukes
authors.forename: A N
authors.initials: AN
authors.lastname: Goudswaard
mesh_terms: 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*
chemical_list: D000701:Analgesics, Opioid; D004008:Diclofenac; D009020:Morphine