Abstract

Emergency department (ED) patients with ureterolithiasis often present with significant pain and discomfort. Given the fact that pain will frequently return prior to the time of spontaneous stone passage or urological intervention, ED providers routinely prescribe pain medications for patients deemed appropriate for discharge. Despite this, return visits to the ED for uncontrolled pain are not uncommon. A recent trend towards limiting prescriptions of opioid medications has occurred for several reasons, including state of Michigan legislation passed in early 2018 recommending a limitation on the amount of opioids that can be provided.

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