AN AUDIT OF RADIOLOGICAL INVESTIGATION IN ACUTE RENAL COLIC AS WELL AS DIAGNOSTIC YIELD OF CT KUB IN TERMS OF RENAL CALCULI AND ALTERNATIVE DIAGNOSIS

Abstract

acute renal colic given its high accuracy and safety as per established guidelines in iRefer PCR guidance[1], as well as NICE guidance for acute renal colic [2], guidelines by British Association of Urological Surgeon (BAUS) for acute ureteric colic management [3], and guidelines on European Association of Urology (EAUS) on urolithiasis [4]. Given its safety and suitability for most cases, CT KUB is the choice of investigation in suspected ureteric colic as well as acute renal colic.

Nevertheless, there is a need to track the appropriate use of CT KUB given a considerable radiation dose involvement and also to ascertain the appropriate use of CT KUB in the setting of acute renal colic presentation and not nonspecific diffuse abdominal pain. Along with that, it’s also important to establish a reasonable diagnostic yield for CT KUB and undermine any erroneous use for a patient with an established diagnosis.

Hence, this audit will quantify the use of CT KUB for acute renal calculi as well as assess its diagnostic yield in terms of alternate diagnosis and renal calculi.