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Revision as of 20:00, 20 May 2013

Kidney stone Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Kidney stone from other Diseases

Epidemiology and Demographics

Risk Factors

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Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

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Electrocardiogram

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CT

MRI

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Other Diagnostic Studies

Treatment

Medical Therapy

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Future or Investigational Therapies

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

CT

Computed tomography (CT or CAT scan), a specialized X-ray, is considered the gold-standard diagnostic test for the detection of kidney stones, and in this setting does not require the use of intravenous contrast, which carries some risk in certain people (eg, allergy, kidney damage). All stones are detectable by CT except very rare stones composed of certain drug residues in the urine. The non-contrast "renal colic study" CT scan has become the standard test for the immediate diagnosis of flank pain typical of a kidney stone. If positive for stones, a single standard x-ray of the abdomen (KUB) is recommended. This additional x-ray provides the physicians with a clearer idea of the exact size and shape of the stone as well as its surgical orientation. Further, it makes it simple to follow the progress of the stone without the need for the much more expensive CT scan just by doing another single x-ray at some point in the future.

Patient #1: CT Image Demonstrates a Jackstone Calculus

Patient #2: CT Images Demonstrates Bilateral Staghorn Calculi

Patient #3: CT Images Demonstrates Left-sided Staghorn Calculi

References

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