| 9.) What is the usual management in such a patient as this?
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The patient should be managed with IV hydration in the ER followed by oral hydration at home, analgesics (morphine or ketorolac), antiemetics, oral analgesics at home, and instructions to strain the urine. Admission is required only for intractable pain, inability to take orally, urinary tract infection, renal insufficiency, or solitary kidney. The use of alpha-adrenergic receptor antagonists (tamsulosin) with or without a short course of corticosteroids has been shown to increase the likelihood of spontaneous ureteral stone passage and should be initiated in appropriate patients.
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