Difference between revisions of "Kidney stone disease"

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{{Authors
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{{Top
 
|author1=[[User:Mikael Häggström|Mikael Häggström]]
 
|author1=[[User:Mikael Häggström|Mikael Häggström]]
 
|author2=
 
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'''Kidney stone disease''', also known as '''urolithiasis''', is when a calculus (kidney stone) occurs in the [[urinary tract]].<ref name=NIH2013>{{cite web|title=Kidney Stones in Adults|url=http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|accessdate=22 May 2015|date=February 2013|deadurl=no|archiveurl=https://web.archive.org/web/20150511192215/http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|archivedate=11 May 2015|df=dmy-all}}</ref>
 
'''Kidney stone disease''', also known as '''urolithiasis''', is when a calculus (kidney stone) occurs in the [[urinary tract]].<ref name=NIH2013>{{cite web|title=Kidney Stones in Adults|url=http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|accessdate=22 May 2015|date=February 2013|deadurl=no|archiveurl=https://web.archive.org/web/20150511192215/http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|archivedate=11 May 2015|df=dmy-all}}</ref>
  
==Planning==
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==Acute disease - planning==
===Need for imaging===
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{{Kidney stone disease - need and choice of modality}}
Imaging is indicated in cases of flank pain and hematuria.<ref name="BrisbaneBailey2016">{{cite journal|last1=Brisbane|first1=Wayne|last2=Bailey|first2=Michael R.|last3=Sorensen|first3=Mathew D.|title=An overview of kidney stone imaging techniques|journal=Nature Reviews Urology|volume=13|issue=11|year=2016|pages=654–662|issn=1759-4812|doi=10.1038/nrurol.2016.154}}</ref>
 
  
===Choice of exam===
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==Recurrent==
*'''[[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.
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See '''[[CT in recurrent kidney stone disease]]'''.
*'''[[Abdominal CT]]''' is recommended for older patients, as well as those who have higher BMI and/or less specific findings.<ref name="BrisbaneBailey2016"/>
 
  
==Evaluation==
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{{Bottom}}
<gallery>
 
File:Kidney stones abdominal X-ray.jpg|Bilateral kidney stones can be seen on this [[Kidneys, ureters, and bladder x-ray|KUB radiograph]]. There are [[phlebolith]]s in the pelvis, which can be misinterpreted as [[bladder stone]]s.
 
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: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_scan#Process|CT window]].
 
</gallery>
 
 
 
==Report==
 
*Stone size(s) and location.
 
*Hydronephrosis and its severity
 
 
 
==References==
 
{{reflist}}
 

Latest revision as of 14:17, 8 November 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]

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.