Local heat decreases renal colic pain

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PRACTICE RECOMMENDATIONS

Local heat decreases the pain, anxiety, and nausea of renal colic during emergency transport. Family physicians should offer this to patients as a supplement to routine care of renal colic pain, while watching for other studies that assess its use for different kinds of pain and in settings other than emergency transport.

 
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Kober A, Dobrovits M, Djavan B, et al. Local active warming: an effective treatment for pain, anxiety and nausea caused by renal colic. J Urol 2003; 170:741–744.

Cristen Page, MD, MPH
Warren Newton, MD, MPH
Department of Family Medicine, University of North Carolina at Chapel Hill. E-mail: [email protected].

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Kober A, Dobrovits M, Djavan B, et al. Local active warming: an effective treatment for pain, anxiety and nausea caused by renal colic. J Urol 2003; 170:741–744.

Cristen Page, MD, MPH
Warren Newton, MD, MPH
Department of Family Medicine, University of North Carolina at Chapel Hill. E-mail: [email protected].

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Kober A, Dobrovits M, Djavan B, et al. Local active warming: an effective treatment for pain, anxiety and nausea caused by renal colic. J Urol 2003; 170:741–744.

Cristen Page, MD, MPH
Warren Newton, MD, MPH
Department of Family Medicine, University of North Carolina at Chapel Hill. E-mail: [email protected].

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PRACTICE RECOMMENDATIONS

Local heat decreases the pain, anxiety, and nausea of renal colic during emergency transport. Family physicians should offer this to patients as a supplement to routine care of renal colic pain, while watching for other studies that assess its use for different kinds of pain and in settings other than emergency transport.

 
PRACTICE RECOMMENDATIONS

Local heat decreases the pain, anxiety, and nausea of renal colic during emergency transport. Family physicians should offer this to patients as a supplement to routine care of renal colic pain, while watching for other studies that assess its use for different kinds of pain and in settings other than emergency transport.

 
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Abciximab: Safe for Patients with Renal Insufficiency?

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Treat high blood pressure sooner: Tougher, simpler JNC 7 guidelines

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Raymond A. Borazanian, BS
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Raymond A. Borazanian, BS
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On testing for proteinuria: Time for a methodical approach

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Proteinuria: How to evaluate an important finding

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H. Erhan Dincer, MD
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Sheldon Hirsch, MD
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Correction: Preventing kidney failure

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Preventing kidney failure: Primary care physicians must intervene earlier

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African Americans with hypertensive kidney disease benefit from an ACE inhibitor

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Initial findings of the AASK
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Initial findings of the AASK
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Are diuretics helpful in acute renal failure?

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Although widely used to treat acute renal failure, diuretics may actually be harmful.

The results of this observational study demonstrated a higher risk of death and nonrecovery of renal function when diuretics were initiated during the first week of hospitalization. It didn’t matter whether a single or combination diuretic was used.

A randomized controlled trial would better answer this question by minimizing the inherent flaws in an observational study. Although this study doesn’t conclusively prove that diuretics cause poorer outcomes, it certainly raises the possibility and should prompt us to think twice before initiating diuretic therapy for acute renal failure.

 
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Mehta LM, Pascual MT, Soroko S, Chertow GM. Diuretics, mortality, and nonrecovery of renal function in acute renal failure. JAMA 2002; 288:2547–2553.

Lawrence Dybedock, MD
Kevin Kane, MD, MSPH
Department of Family & Community Medicine, University of Missouri Columbia

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Mehta LM, Pascual MT, Soroko S, Chertow GM. Diuretics, mortality, and nonrecovery of renal function in acute renal failure. JAMA 2002; 288:2547–2553.

Lawrence Dybedock, MD
Kevin Kane, MD, MSPH
Department of Family & Community Medicine, University of Missouri Columbia

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Mehta LM, Pascual MT, Soroko S, Chertow GM. Diuretics, mortality, and nonrecovery of renal function in acute renal failure. JAMA 2002; 288:2547–2553.

Lawrence Dybedock, MD
Kevin Kane, MD, MSPH
Department of Family & Community Medicine, University of Missouri Columbia

[email protected]

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PRACTICE RECOMMENDATIONS

Although widely used to treat acute renal failure, diuretics may actually be harmful.

The results of this observational study demonstrated a higher risk of death and nonrecovery of renal function when diuretics were initiated during the first week of hospitalization. It didn’t matter whether a single or combination diuretic was used.

A randomized controlled trial would better answer this question by minimizing the inherent flaws in an observational study. Although this study doesn’t conclusively prove that diuretics cause poorer outcomes, it certainly raises the possibility and should prompt us to think twice before initiating diuretic therapy for acute renal failure.

 
PRACTICE RECOMMENDATIONS

Although widely used to treat acute renal failure, diuretics may actually be harmful.

The results of this observational study demonstrated a higher risk of death and nonrecovery of renal function when diuretics were initiated during the first week of hospitalization. It didn’t matter whether a single or combination diuretic was used.

A randomized controlled trial would better answer this question by minimizing the inherent flaws in an observational study. Although this study doesn’t conclusively prove that diuretics cause poorer outcomes, it certainly raises the possibility and should prompt us to think twice before initiating diuretic therapy for acute renal failure.

 
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Diuretics are still the preferred initial drugs for high blood pressure

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The ALLHAT Trial
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The ALLHAT Trial
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