robbiemed on Nostr: Urolithiasis Pearls - Presence or absence of hematuria alone cannot be used to ...
Urolithiasis Pearls
- Presence or absence of hematuria alone cannot be used to diagnose or exclude nephrolithiasis
- Most stones ≤5 mm (70–98%) will pass spontaneously. Stones >5 mm have smaller chance (25–51%) of spontaneous passage & are more likely to need urologic intervention. (J Urol. 2015;194:1009)
- Send pts home w/ strainer, esp 1st-time stone formers for stone analysis
- Cx: Obstructed infected kidney (urologic emergency requiring urgent decompression), renal insufficiency, failed expulsion
Excerpt From
Pocket Notebook: Pocket Emergency Medicine, 4e
Erica Ashley Morse, MD
#em
- Presence or absence of hematuria alone cannot be used to diagnose or exclude nephrolithiasis
- Most stones ≤5 mm (70–98%) will pass spontaneously. Stones >5 mm have smaller chance (25–51%) of spontaneous passage & are more likely to need urologic intervention. (J Urol. 2015;194:1009)
- Send pts home w/ strainer, esp 1st-time stone formers for stone analysis
- Cx: Obstructed infected kidney (urologic emergency requiring urgent decompression), renal insufficiency, failed expulsion
Excerpt From
Pocket Notebook: Pocket Emergency Medicine, 4e
Erica Ashley Morse, MD
#em