Kidney and Ureteral Stones

Emerg Med Clin North Am. 2019 Nov;37(4):637-648. doi: 10.1016/j.emc.2019.07.004. Epub 2019 Aug 19.

Abstract

Renal colic is a common complaint that presents to the emergency department. It is estimated that 13% of men and 7% of women will develop a renal stone. There is a high probability of recurrence, with 50% within 5 years. Computed tomographic scan of the abdomen and pelvis without contrast and the ultrasound of the kidneys, ureters, and bladder are the common diagnostic imaging modalities used for diagnosis. Initial treatment includes analgesics and medical expulsive therapy. Most of the patients will pass their stone spontaneously within 3 days. The remaining 20% will require urologic intervention.

Keywords: Kidney stone; Nephrolithiasis; Renal colic; Urolithiasis.

Publication types

  • Review

MeSH terms

  • Humans
  • Kidney Calculi / diagnosis*
  • Kidney Calculi / therapy
  • Nephrolithiasis / diagnosis
  • Nephrolithiasis / therapy
  • Ureteral Calculi / diagnosis*
  • Ureteral Calculi / therapy
  • Urolithiasis / diagnosis
  • Urolithiasis / therapy