Stone formation within the urinary tract: Urinary crystals bind to form a nidus, which grows to form a calculus (stone).
Range of symptoms: asymptomatic to obstructive; febrile morbid...
Pain
Renal colic: acute onset of severe groin and/or flank pain
Distal stones may present with referred pain in labia, penile meatus, or testis.
Microscopic/gross hematuria occurs in 95%...
75% of patients are successfully treated conservatively and pass the stone spontaneously.
>65% of stones <5 mm will pass spontaneously with conservative treatment .
Stone...
Patients being treated conservatively should be followed until imaging is clear or stone is visibly passed.
Strain urine and send stone for composition.
Tamsulosin ...
N20.9 Urinary calculus, unspecified
N20.0 Calculus of kidney
N20.1 Calculus of ureter
N21.0 Calculus in bladder
N21.1 Calculus in urethra
N21.8 Other lower urinary tract calculus
N21.9 Calculus o...
Medical expulsive therapy may improve likelihood of spontaneous stone passage.
Increased fluid intake for life; 2-3 L/day intake.
Patients with calcium stones should minimize high-oxalat...
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