Manejo Ambulatorio del Paciente con Urolitiasis

Conclusiones

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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