Difference between revisions of "Kidney stone disease"
Jump to navigation
Jump to search
m (→Choice of exam: ''') |
m (→Evaluation: Not relevant) |
||
| Line 16: | Line 16: | ||
==Evaluation== | ==Evaluation== | ||
<gallery> | <gallery> | ||
| − | |||
File:3mmstone.png|[[Transverse plane|Axial]] [[X-ray computed tomography|CT scan]] of abdomen without contrast, showing a 3-mm stone (marked by an arrow) in the left proximal [[ureter]] | File:3mmstone.png|[[Transverse plane|Axial]] [[X-ray computed tomography|CT scan]] of abdomen without contrast, showing a 3-mm stone (marked by an arrow) in the left proximal [[ureter]] | ||
File:Ultrasonography of renal stone located at the pyeloureteric junction.jpg|[[Renal ultrasonograph]] of a stone located at the pyeloureteric junction with accompanying hydronephrosis. | File:Ultrasonography of renal stone located at the pyeloureteric junction.jpg|[[Renal ultrasonograph]] of a stone located at the pyeloureteric junction with accompanying hydronephrosis. | ||
Revision as of 17:43, 3 September 2018
Author:
Mikael Häggström [notes 1]
Kidney stone disease, also known as urolithiasis, is when a calculus (kidney stone) occurs in the urinary tract.[1]
Planning
Need for imaging
Imaging is indicated in cases of flank pain and hematuria.[2]
Choice of exam
- Ultrasonography of the urinary system 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.
- Abdominal CT is recommended for older patients, as well as those who have higher BMI and/or less specific findings.[2]
Evaluation
- Ultrasonography of renal stone located at the pyeloureteric junction.jpg
Renal ultrasonograph of a stone located at the pyeloureteric junction with accompanying hydronephrosis.
- CT measurement of kidney stone in soft tissue and bone window.jpg
Measurement of a 5.6 mm large kidney stone in soft tissue versus skeletal CT window.
Report
- Stone size(s) and location.
- Hydronephrosis and its severity
References
- ↑ . Kidney Stones in Adults (February 2013). Archived from the original on 11 May 2015. Retrieved on 22 May 2015.
- ↑ 2.0 2.1 Brisbane, Wayne; Bailey, Michael R.; Sorensen, Mathew D. (2016). "An overview of kidney stone imaging techniques ". Nature Reviews Urology 13 (11): 654–662. doi:. ISSN 1759-4812.
Cite error: <ref> tags exist for a group named "notes", but no corresponding <references group="notes"/> tag was found, or a closing </ref> is missing
