Year: 2023
Type: other
Abstract: The lifetime risk of nephrolithiasis is 10.6% in men and 7.1% in women in the United States. Patients frequently seek emergency care for the pain associated with nephrolithiasis because it is typically severe and refractory to over-the-counter analgesics. A recent study showed that computed tomography (CT) scanning is the predominant test used and is performed in more than 90% of patients diagnosed with kidney stones. A more recent study has examined the sensitivity and specificity of radiology-performed US for the detection of nephrolithiasis. The focus was on scenarios where either standard or reduced-radiation-dose CT may not be the clear, initial approach, and other approaches could be taken such as point-of-care or radiology-performed US or no imaging. A 2014 study aimed to derive and validate a clinical prediction rule to identify the presence of uncomplicated ureteral stones in emergency department patients who otherwise undergo unenhanced CT.
Authors: Jesse M. Pines, Christopher R. Carpenter
Institutions: Drexel University, Washington University in St. Louis
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W4360976946