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Renal Colic/Urolithiasis Updated 4/2010

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Etiology
  • General Prevention
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis
  • Medication (Drugs)
  • Surgery
  • Interventional

Follow-up

  • Prognosis
  • Complications
  • Patient Monitoring
The following is an excerpt....
BASICS
Description

Kidney stones, or calculi within the urinary system.

Epidemiology
Incidence
  • In the United States, 300 new cases per 100,000 annually
  • Peak incidence is between the ages of 20 and 40 years.
  • Males are affected more commonly than females, by a ratio of 3:1.
Prevalence

A lifetime risk of 2% to 5% exists.

ALERT: Pediatric Considerations
Pediatric patients with urolithiasis should be referred to a pediatric urologist for evaluation.
ALERT: Pregnancy Considerations
  • Urologic consultation should be obtained for pregnant women with signs/symptoms of urolithiasis.
  • Management typically includes IV antibiotics and an attempt at nonsurgical management until after delivery.
  • Sixty-six to eight-five percent of pregnant women with ureteral colic spontaneously pass the calculi when treated ...

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