[Nephritic colic. Analysis of 140 cases].

A nephritic colic is one of the most common pictures of urologic conditions, a primary causes being the occurrence of lithiasis concretions along the urinary tract. A series of 140 cases of nephritic colic diagnosed in the emergency ward and later referred to our office for follow-up are presented here. The relevance of the physical examination is emphasized, pointing out that with practice the simple performance of abdominal X-ray, ultrasound and urinary sediments is usually enough to reach a certainty diagnosis. There is, however, near 10% cases where it is necessary to carry out contrast studies or endoscopic manoeuvres to be able to differentiate a nephritic colic from other conditions. The primary aim of treatment is to overcome pain, facilitate the advance of the lithiasis obstacle and to preserve the renal function. A description is made of the various drugs used, while endoscopic manoeuvres are reserved for the more selected cases of compromised kidney or when the patient's general condition so requires.