USMLE/COMLEX - Step 2 - Nephrolithiasis
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USMLE/COMLEX - Step 2 - Nephrolithiasis
Symptoms
Colicky flank pain
Hematuria
Nausea
Vomiting
Dysuria
Frequency
Urgency
Diagnosis
CBC
Urinalysis
Ultrasound
CT scan of the abdomen and pelvis without IV contrast is confirmatory
Treatment
Analgesia
Antiemetics
Intravenous fluids
Alpha blockers for stones < 10 mm
Ureterorenoscopy or extracorporeal stockwave lithotripsy for mid or distal ureter stones
Percutaneous nephrolithotomy > 20 mm or lower renal pole stones > 10 mm