Manejo Ambulatorio del Paciente con Urolitiasis


La urolitiasis comprende un espectro relativamente común de enfermedades que se manifiestan por la aparición de cálculos en la vía urinaria, los cuales pueden o no acompañarse de sintomatología aguda o crónica. El paciente con cólico renal puede estudiarse mediante diferentes alternativas, siendo la TAC helicoidal sin contraste la que mayor confiabilidad ofrece. Dicho paciente puede ser manejado médica o quirúrgi­camente de acuerdo a las características del caso; si se opta por lo primero, los AINEs y la dipirona son los productos de primera línea. Por otra parte, todo paciente ambulatorio requerirá un estudio y un manejo determinado, el cual dependerá de los factores de riesgo asociados y del tipo de cálculo.


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