Difference between revisions of "CT of kidney stone disease"

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|author1=[[User:Mikael Häggström|Mikael Häggström]]
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==Planning==
 
==Planning==
 
*'''Choice of exam''': In the acute setting, [[ultrasonography for urolithiasis]] is the optimal first investigation rather than CT.<ref name="Smith-BindmanAubin2014">{{cite journal|last1=Smith-Bindman|first1=Rebecca|last2=Aubin|first2=Chandra|last3=Bailitz|first3=John|last4=Bengiamin|first4=Rimon N.|last5=Camargo|first5=Carlos A.|last6=Corbo|first6=Jill|last7=Dean|first7=Anthony J.|last8=Goldstein|first8=Ruth B.|last9=Griffey|first9=Richard T.|last10=Jay|first10=Gregory D.|last11=Kang|first11=Tarina L.|last12=Kriesel|first12=Dana R.|last13=Ma|first13=O. John|last14=Mallin|first14=Michael|last15=Manson|first15=William|last16=Melnikow|first16=Joy|last17=Miglioretti|first17=Diana L.|last18=Miller|first18=Sara K.|last19=Mills|first19=Lisa D.|last20=Miner|first20=James R.|last21=Moghadassi|first21=Michelle|last22=Noble|first22=Vicki E.|last23=Press|first23=Gregory M.|last24=Stoller|first24=Marshall L.|last25=Valencia|first25=Victoria E.|last26=Wang|first26=Jessica|last27=Wang|first27=Ralph C.|last28=Cummings|first28=Steven R.|title=Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis|journal=New England Journal of Medicine|volume=371|issue=12|year=2014|pages=1100–1110|issn=0028-4793|doi=10.1056/NEJMoa1404446}}</ref>
 
*'''Choice of exam''': In the acute setting, [[ultrasonography for urolithiasis]] is the optimal first investigation rather than CT.<ref name="Smith-BindmanAubin2014">{{cite journal|last1=Smith-Bindman|first1=Rebecca|last2=Aubin|first2=Chandra|last3=Bailitz|first3=John|last4=Bengiamin|first4=Rimon N.|last5=Camargo|first5=Carlos A.|last6=Corbo|first6=Jill|last7=Dean|first7=Anthony J.|last8=Goldstein|first8=Ruth B.|last9=Griffey|first9=Richard T.|last10=Jay|first10=Gregory D.|last11=Kang|first11=Tarina L.|last12=Kriesel|first12=Dana R.|last13=Ma|first13=O. John|last14=Mallin|first14=Michael|last15=Manson|first15=William|last16=Melnikow|first16=Joy|last17=Miglioretti|first17=Diana L.|last18=Miller|first18=Sara K.|last19=Mills|first19=Lisa D.|last20=Miner|first20=James R.|last21=Moghadassi|first21=Michelle|last22=Noble|first22=Vicki E.|last23=Press|first23=Gregory M.|last24=Stoller|first24=Marshall L.|last25=Valencia|first25=Victoria E.|last26=Wang|first26=Jessica|last27=Wang|first27=Ralph C.|last28=Cummings|first28=Steven R.|title=Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis|journal=New England Journal of Medicine|volume=371|issue=12|year=2014|pages=1100–1110|issn=0028-4793|doi=10.1056/NEJMoa1404446}}</ref>

Revision as of 11:26, 29 May 2018

Author: Mikael Häggström [notes 1]

Planning

Evaluation

The proper sizing of a stone is most critical at around 5 mm.[note 1]

Notes

  1. ↑ Stones less than 5 mm in diameter pass spontaneously in up to 98% of cases, while those measuring 5 to 10 in diameter pass spontaneously in less than 53% of cases.
    - Gettman, MT; Segura, JW (2005). "Management of ureteric stones: Issues and controversies ". British Journal of Urology International 95 (Supplement 2): 85–93. doi:10.1111/j.1464-410X.2005.05206.x. PMID 15720341. 

References

  1. ↑ Smith-Bindman, Rebecca; Aubin, Chandra; Bailitz, John; Bengiamin, Rimon N.; Camargo, Carlos A.; Corbo, Jill; Dean, Anthony J.; Goldstein, Ruth B.; et al. (2014). "Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis ". New England Journal of Medicine 371 (12): 1100–1110. doi:10.1056/NEJMoa1404446. ISSN 0028-4793. 


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