Kidney stone disease

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Author: Mikael Häggström [notes 1]

Kidney stone disease, also known as urolithiasis, is when a calculus (kidney stone) occurs in the urinary tract.[1]

Acute disease - planning

Need for imaging

Imaging is indicated in cases of flank pain and hematuria.[2]

Choice of modality

Algorithm for kidney stone disease, developed in the US.[3]
  • Ultrasonography of kidney stone disease is the first-line imaging modality for patients <14 years of age and those who are pregnant. It is also the first-line investigation for thin (BMI <30) patients and there is a strong suspicion of kidney stone disease.[2] In the algorithm at right, hydronephrosis may count as a diagnostic finding of urolithiasis.
  • CT of kidney stone disease is recommended for older patients, as well as those who have higher BMI and/or less specific findings.[2]


Recurrent

See CT in recurrent kidney stone disease.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. . Kidney Stones in Adults (February 2013). Archived from the original on 11 May 2015. Retrieved on 22 May 2015.
  2. 2.0 2.1 2.2 Brisbane, Wayne; Bailey, Michael R.; Sorensen, Mathew D. (2016). "An overview of kidney stone imaging techniques ". Nature Reviews Urology 13 (11): 654–662. doi:10.1038/nrurol.2016.154. ISSN 1759-4812. 
  3. Brisbane, Wayne; Bailey, Michael R.; Sorensen, Mathew D. (2016). "An overview of kidney stone imaging techniques ". Nature Reviews Urology 13 (11): 654–662. doi:10.1038/nrurol.2016.154. ISSN 1759-4812.