Comments on: What’s your longest ER wait? http://www.kevinmd.com/blog/2007/01/whats-your-longest-er-wait.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/01/whats-your-longest-er-wait.html#comment-70342 Anonymous Fri, 12 Jan 2007 02:39:00 +0000 http://clients.emmense.com/kevinmd/2007/01/whats-your-longest-er-wait.html#comment-70342 IF.......you do have a UTI. You didn't say that you did. Otherwise obstructed stones are sent home all the time IF…….you do have a UTI. You didn’t say that you did. Otherwise obstructed stones are sent home all the time

]]> By: Maryamhttp://www.kevinmd.com/blog/2007/01/whats-your-longest-er-wait.html#comment-70337 Maryam Thu, 11 Jan 2007 23:21:00 +0000 http://clients.emmense.com/kevinmd/2007/01/whats-your-longest-er-wait.html#comment-70337 "A ureteral stone associated with obstruction and upper UTI is a true urologic emergency. Complications include perinephric abscess, urosepsis, and death. Immediate involvement of the urologist is essential."<br/>http://www.emedicine.com/EMERG/topic499.htm “A ureteral stone associated with obstruction and upper UTI is a true urologic emergency. Complications include perinephric abscess, urosepsis, and death. Immediate involvement of the urologist is essential.”
http://www.emedicine.com/EMERG/topic499.htm

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/whats-your-longest-er-wait.html#comment-70325 Anonymous Thu, 11 Jan 2007 15:38:00 +0000 http://clients.emmense.com/kevinmd/2007/01/whats-your-longest-er-wait.html#comment-70325 1.5CM obstructing kidney stone, Important yes and ER approptiate but still not truly an emergency. You could have waited another week and outcome would still have been the same. 1.5CM obstructing kidney stone, Important yes and ER approptiate but still not truly an emergency. You could have waited another week and outcome would still have been the same.

]]> By: Maryamhttp://www.kevinmd.com/blog/2007/01/whats-your-longest-er-wait.html#comment-70307 Maryam Wed, 10 Jan 2007 23:43:00 +0000 http://clients.emmense.com/kevinmd/2007/01/whats-your-longest-er-wait.html#comment-70307 On Christmas morning I presented with cramps, nausea and constant ache in my left side. I'd put up with the pain for twenty-four hours at home before I went in, and luckily was seen pretty much straight away. It turned out to be a 1.5cm kidney stone completely obstructing the ureter and I had renal colic, so it was emergency enough for them to admit me and stick a nephrostomy (sp?) tube in to drain the kidney.<br/><br/>So twenty-four hours with stomach pain could have still been an emergency. On Christmas morning I presented with cramps, nausea and constant ache in my left side. I’d put up with the pain for twenty-four hours at home before I went in, and luckily was seen pretty much straight away. It turned out to be a 1.5cm kidney stone completely obstructing the ureter and I had renal colic, so it was emergency enough for them to admit me and stick a nephrostomy (sp?) tube in to drain the kidney.

So twenty-four hours with stomach pain could have still been an emergency.

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