RT Book, Section
A1 Geller, David
A1 Dahl, Neera K.
A2 Lerma, Edgar V.
A2 Rosner, Mitchell H.
A2 Perazella, Mark A.
SR Print(0)
ID 1149115173
T1 Nephrolithiasis
T2 CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259861055
LK accessmedicine.mhmedical.com/content.aspx?aid=1149115173
RD 2024/10/05
AB ESSENTIALS  OF  DIAGNOSISRenal  colic  is  classically  described  as  a  waxing  and  waning  pain,  which  starts  in  the  flank  and  may  radiate  to  the  groin.  It  may  be  accompanied  by  hematuria.An  ultrasound  is  an  appropriate  first  test  to  diagnose  a  kidney  stone,  a  helical  non-contrast  CT  scan—either  low  dose  or  standard  dose  may  also  be  considered.Chemical  analysis  of  the  stone  is  very  helpful  in  determining  further  treatment.Individuals  with  multiple  stones,  very  early  age  of  onset  of  stones,  or  multiple  risk  factors  should  undergo  further  metabolic  workup  to  determine  appropriate  treatment  for  stones.