Urolithiasis is the occurrence of calculi (stones) within the urinary tract, including the kidney, ureter, or bladder.
Stones may be composed of calcium oxalate, calcium phosphate, ur...
Sudden or gradual onset of flank pain
Location of stone is guided by the pain.
Midabdominal or suprapubic pain may indicate ureteral location of stone.
Testicular or labial pain indicate...
After diagnosis, referral to pediatric urology for surgical management and to pediatric urology or pediatric nephrology for complete metabolic evaluation and treatment
Stones ...
All stones passed should be sent for chemical analysis.
Increase fluid intake: Urine should be clear.
Avoid vitamin D and C supplementation until metabolic workup i...
Dwyer ME, Krambeck AE, Bergstralh EJ, et al. Temporal trends in incidence of kidney stones among children: a 25-year population based study. J Urol. 2012;188(1):247–252. [View...
592.9 Urinary calculus, unspecified
592.0 Calculus of kidney
592.1 Calculus of ureter
594.1 Other calculus in bladder
594.9 Calculus of lower urinary tract, unspecified
594.2 Calculus in urethra
5...
Q: When should a child with a stone be admitted for management?
A: If the stone has obstructed a solitary kidney, if the child has an elevated white blood cell count or UTI in the setting of obstru...
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