Diagnosis and initial management of kidney stones

Andrew J. Portis, Chandru P. Sundaram

Research output: Contribution to journalReview article

80 Scopus citations

Abstract

The diagnosis and initial management of urolithiasis have undergone considerable evolution in recent years. The application of noncontrast helical computed tomography (CT) in patients with suspected renal colic is one major advance. The superior sensitivity and specificity of helical CT allow urolithiasis to be diagnosed or excluded definitively and expeditiously without the potential harmful effects of contrast media. Initial management is based on three key concepts: (1) the recognition of urgent and emergency requirements for urologic consultation, (2) the provision of effective pain control using a combination of narcotics and nonsteroidal anti-inflammatory drugs in appropriate patients and (3) an understanding of the impact of stone location and size on natural history and definitive urologic management. These concepts are discussed with reference to contemporary literature, with the goal of providing tools that family physicians can use in the emergency department or clinic.

Original languageEnglish (US)
Pages (from-to)1329-1338
Number of pages10
JournalAmerican family physician
Volume63
Issue number7
StatePublished - Apr 1 2001
Externally publishedYes

ASJC Scopus subject areas

  • Family Practice

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