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Nephrolithiasis Clinical Pathway – Emergency Department – History and Physical

Nephrolithiasis Clinical Pathway – Emergency Department

History

Symptoms
  • Pain
    • Abdominal, flank, penile, scrotal, or vaginal pain
    • Colic in infants
  • Systemic symptoms
    • Nausea/vomiting
    • Fever
    • Current urinary tract infection
  • GU
    • Hematuria
    • Dysuria, urinary frequency, urgency
    • Sensation of incomplete bladder emptying
    • Changes in urine output
Risk Factors for Stones
  • Known nephrolithiasis
  • Family history nephrolithiasis
  • Urological abnormalities, surgeries
  • Spina bifida
  • Renal abnormalities
  • Recurrent UTI
  • Inflammatory bowel disease
  • Metabolic, genetic diseases
High Risk Medications
  • Topiramate
  • Zonisamide
  • Acetazolamide
  • Ketogenic diet
  • Furosemide

Physical

Physical Exam
  • Vital signs
  • Signs of infection
  • Abdominal exam
  • CVA tenderness
  • GU exam
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