RT Book, Section
A1 Gray, William K.
A2 Cline, David M.
A2 Ma, O. John
A2 Cydulka, Rita K.
A2 Meckler, Garth D.
A2 Handel, Daniel A.
A2 Thomas, Stephen H.
SR Print(0)
ID 56273467
T1 Chapter 57. Complications of Urologic Devices
T2 Tintinalli's Emergency Medicine Manual, 7e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178184-8
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=56273467
RD 2024/04/20
AB Common  post  lithotripsy  complications  include:  abdominal  pain,  nausea  and  vomiting,  ureteral  colic,  fever,  and  skin  ecchymosis.  Supportive  therapy  with  IV  fluids,  analgesics,  and  antiemetics  may  be  indicated.  Check  complete  blood  count,  creatinine,  urinalysis,  and  urine  output;  use  antibiotics  if  appropriate.  Severe  flank  pain,  fall  in  hematocrit,  hypotension,  and  syncope,  can  be  caused  by  pernephric  and  renal  hematomas.  Diagnosis  is  by  CT  or  US.  Acute  management  may  include  IV  fluids,  blood  transfusions,  analgesics,  and  antibiotics.  It  is  important  to  consult  urology  early  in  the  process.  Rare  complications  include  injury  to  abdominal  viscera  and  surrounding  structures.  Consult  surgery  and  urology  for  these  complications.