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Importance of axial kidney scans in ultrasound screening in prehospital assessment for renal colic

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Renal screening sonography or renal point-of-care ultrasonography (POCUS) plays a crucial role in evaluating conditions such as renal colic in nephrolithiasis. When an obstructive cause such as a stone lodged in the urinary tract is not visualized sonographically during renal colic assessment, the presence of hydronephrosis and perirenal fluid becomes significant. These sonographic signs are often associated with more severe cases,1 prompting the need for further investigation by urology and radiology specialists. Definitive diagnosis and management may require conventional sonography or the gold standard, computed tomography (CT). However, both imaging modalities and specialists are unavailable in peripheral prehospital settings, as are hematological and urine analyses.

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Palavras-chave

Doppler Hydronephrosis Perirenal Screening Ultrasonography

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Editora

Elsevier

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