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Journal of The Korean Society of Emergency Medicine 1995;6(1): 169-175. |
| A CLINICAL OBSERVATION ON URINARY LITHIASIS IN EMERGENCY DEPARTMENT |
| Jun Sig Kim, Sung Joong Kim, Joon Pil Cho |
| Department of Emergency Medicine, Ajou University School of Medicine |
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Published online: June 30, 1995. |
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| ABSTRACT |
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A clinical study was made on 139 cases of urolithiasis among the total number of 14798 who visited in the emergency center during 7 months from June 1994 to December 1994.The 186 patients was suspected the urolithiasis, then the 150 patients was followed through out ― patient department of Urology and performed Intravenous pyelogram. Among the 150 cases.the urolithiasis was confirmed in 139 cases.
The results are summarized as follows :
1. The ration of the male to female is approximately 2.97 : 1.
2. The age of the patients ranged from 20 to 50 in approximately 80.6 %.
3. Among 52 patient who were not revealed stone in KUB, 45 patients were shown microscopic hematuria. The 22 patients were revealed urolithiasis in IVP. The 6 patients found the urolithiasis spontaneously delivered. The 17 patients were diagnosed through out- patient department of urology.
4. The 7 patients, who not hematuria and no stones in KUB, were revealed urolithiasis in IVP performed at other hospital.
5. The major clinical symptoms and signs were flank pain(117 cases),abdominal pain and suprapubic discomfort(35 cases), fever(7 cases), low back pain(7 cases), nausea and vomiting(6 cases), painful urination(1 case), and urinary frequency(1 case).
6. The specific location of the stones showed 98 cases in ureter, 7 cases in kidney, bilateraltty (3 cases),and multiple stones(8 cases). The ureteral stones located most frequently in the lower 1/3 of the ureter with 55 cases.
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| Key words:
Urolithiasis, Diagnostic tool |
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