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Stones: Diagnosis and Evaluation
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===UrologySchool.com Summary=== ====AUA'''<span style="color:#ff0000">[https://pubmed.ncbi.nlm.nih.gov/24857648/ β ]</span>'''==== *'''<span style="color:#ff0000">Patients with newly diagnosed kidney or ureteral stones should undergo a s</span><span style="color:#ff0000">Screening Evaluation</span>''' '''<span style="color:#ff0000">e</span><span style="color:#ff0000">valuation</span>''' '''<span style="color:#ff0000">consisting of</span>''' **'''<span style="color:#ff0000">History and Physical Exam</span>''' **'''<span style="color:#ff0000">Laboratory (5)</span>''' **#'''<span style="color:#ff0000">Urinalysis +/- culture</span>''' **#'''<span style="color:#ff0000">Serum electrolytes (Na, K, Cl, HCO3)</span>''' **#'''<span style="color:#ff0000">Serum calcium</span>''' **#'''<span style="color:#ff0000">Serum creatinine</span>''' **#'''<span style="color:#ff0000">Serum uric acid</span>''' **'''<span style="color:#ff0000">Imaging</span>''' ***'''<span style="color:#ff0000">Obtain or review available imaging studies to quantify stone burden.</span>''' *'''<span style="color:#ff0000">Extended evaluation</span>''' **'''<span style="color:#ff0000">One or two 24-hour urine collections</span>''' ***'''<span style="color:#ff0000">Indications (7):</span>''' ***#'''<span style="color:#ff0000">Recurrent stone formers</span>''' ***#'''<span style="color:#ff0000">Family history of stone disease</span>''' ***#'''<span style="color:#ff0000">Solitary kidney</span>''' ***#'''<span style="color:#ff0000">Malabsorptive intestinal disease or resection</span>''' ***#'''<span style="color:#ff0000">Obesity</span>''' ***#'''<span style="color:#ff0000">Recurrent UTIs</span>''' ***#'''<span style="color:#ff0000">Medical conditions predisposing to stones (e.g., RTA Type 1, primary hyperparathyroidism, gout, diabetes mellitus type)</span>'''
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