Stone disease is relatively uncommon in childhood. It may present with haematuria without flank pain
Although stones are seen in metabolic conditions such as oxalosis, the majority of stones are calcium based
Infection must be detected in cases of complete obstruction (see standing column of contrast IVU here) and if hydronephrosis develops nephrostomy inserted urgently
IVU has a lower sensitivity for detecting stones and does not assist in visualising alternative diagnoses
Opiates appear to cause more side effects than NSAIDS, and NSAIDS appear as effective in pain relief as opiates
Limited pyuria is commonly seen in association with ureteric colic
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