Hematuria in renal colic
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Report By: Laith Sultan - Senior Emergency Trainee
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Institution: Manchester Royal Infirmary
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Date Submitted: 5th August 2010
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Last Modified: 10th December 2010
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Status: Red (incomplete)
Three Part Question
In a [ patient presenting with symptoms suggestive of renal colic] is the [absence of hematuria] [sensitive to role out this diagnosis]?
Clinical Scenario
You are called to the emergency department to see a 35 years old man who presented with severe left loin to groin pain and vomitting. On examination you find him rolling in the bed, tachycardic and has a left renal angle tenderness. You control his pain and decide to run a urine test to confirm the diagnosis of renal colic. The urine dipstick comes back as normal, and leaves you with this question: How sensitive is the lack of hematuria in rule out the diagnosis of acute renal colic?