Management of Nephrolithiasis in the Urgent Care Setting | Points & Pearls
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Management of Nephrolithiasis in the Urgent Care Setting

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Points & Pearls Excerpt

  • Kidney stones can be composed of calcium oxalate and calcium phosphate, uric acid, struvite, and cysteine.
  • Environmental, dietary, metabolic, anatomic, and genetic conditions play a role in stone formation. Other risk factors include male sex, obesity, family history, and gout, among others.
  • A thorough history that includes onset, timing, quality, and location of pain, as well as family history, dietary changes, surgical history, and a medication review, can help differentiate nephrolithiasis from other conditions.
  • A diagnosis of nephrolithiasis is reliant upon laboratory studies and imaging. Urinalysis and computed tomography (CT) are the 2 most valuable diagnostic tests.
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Publication Information
Author

Raigan A. Burkall-Lewis, MD

Peer Reviewed By

Lisa M. Campanella-Coppo, MD, FACEP; Ivan Koay, MBChB, MRCS, FRNZCUC, MD

Publication Date

January 1, 2025

CME Expiration Date

January 1, 2028    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-B Credits.
4 AAFP Prescribed Credits

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