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Renal Colic

Classic Presentation

Goals

"Diagnosis of urinary tract obstruction..."

Traditional workup

Problems with traditional work-up

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Advantages of Spiral CT

CT findings of obstructing calculus

Urinary Calculi

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Bladder calculus vs UVJ calculus

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Renal calculus vs phlebolith

Soft tissue rim sign

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Comet tail sign

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Find the ureteral calculus…

Calculi vs phleboliths

Which patients need surgical intervention?

"Diagnosis of urinary tract obstruction..."

Alternate diagnoses for flank pain

Acute Pyelonephritis

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Renal Infarction

Renal Infarction
CT Findings (with IV contrast)

History atrial fibrillation, presents with right flank pain

Right Flank Pain

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Left flank pain

Right Flank Pain

Patient presents with
left flank pain

Patient Presents with
Right Flank Pain

2 Different Patients with
 Right Flank Pain

"Diagnosis of urinary tract obstruction..."

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Summary

Review Questions

The least likely calculus to spontaneously pass is…

The least likely calculus to spontaneously pass is…

CT can detect stones made of the following except…

CT can detect stones made of the following except…

The following diagnoses can all be made without IV contrast except…

The following diagnoses can all be made without IV contrast except…

References

The End