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
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2025-01-21 17:11:33
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npub1drkh2km4l9dgfcza8ceghjnq2rcut6jwe22kj4x3dhuzaxvmzjjscqdwxyPublished at
2025-01-21 17:11:33Event JSON
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"content": "Urolithiasis Pearls\n- Presence or absence of hematuria alone cannot be used to diagnose or exclude nephrolithiasis\n- Most stones ≤5 mm (70–98%) will pass spontaneously. Stones \u003e5 mm have smaller chance (25–51%) of spontaneous passage \u0026 are more likely to need urologic intervention. (J Urol. 2015;194:1009)\n- Send pts home w/ strainer, esp 1st-time stone formers for stone analysis\n- Cx: Obstructed infected kidney (urologic emergency requiring urgent decompression), renal insufficiency, failed expulsion\n\nExcerpt From\nPocket Notebook: Pocket Emergency Medicine, 4e\nErica Ashley Morse, MD\n#em",
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