ABSTRACT
Intravenously administered ketorolac tromethamine provided complete pain relief to a 54-year-old man with right-sided testicular pain and nausea and vomiting. The patient had a ureteral calculus documented by computed tomography. This patient's pain initially failed to respond to intravenously administered hydromorphone hydrochloride. Subsequently, he was admitted to the hospital and had operative removal of his ureteral calculus and placement of a ureteral stent. Based on their findings and review of the literature, the authors recommend that intravenous ketorolac be used as the first-line treatment for acute renal colic in patients in whom the medication is not contraindicated.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Colic/drug therapy , Ketorolac/therapeutic use , Kidney Diseases/drug therapy , Humans , Male , Middle AgedABSTRACT
Multiple myeloma is an uncommon cancer, but of eight patients with multiple myeloma admitted to a general hospital over 5 months, five had psychiatric illness, and four of the five had delirium. Consulting psychiatrists should be aware of the common occurrence of impaired cognition in patients with multiple myeloma.
