GGC - Primary Care
- AAA, abdominal aortic aneurysm
- CT, computerised tomography
- GI, gastrointestinal tract
- GP, general practitioner
- GRI, Glasgow Royal Infirmary
- KUB, kidneys, ureters and bladder
- OP, outpatient
- QEUH, Queen Elizabeth University Hospital
- RAH, Royal Alexandra Hospital.
Loin pain
Warning
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Presenting patient symptoms details
Loin pain
GP to assess
Unilateral loin pain and:
- Symptoms of infection
- History of renal/ureteric calculi
- Evidence of haematuria (visible or non-visible)
GP to consider
- Musculoskeletal pain/back pain
- GI problems/irritable bowel disease
- Exclude pulsatile mass (AAA)
- Exclude abdominal/loin mass
- Gynaecological issues
GP treat/refer as appropriate
Pain controlled with oral diclofenac and paracetamol?
Yes
- Urgent referral to Urology
- OP CTKUB will be arranged by urology
- Patient should expect this as part of referral
No
- Contact on-call Urology team at GRI/RAH/QEUH depending on catchment
National Institute for Health and Care Excellence (NICE). Renal and ureteric stones: assessment and management. January 2019. Available at: www.nice.org.uk/guidance/ng118/chapter/Recommendations (Accessed: January 2025).