Stones: Evaluation and Medical Management: Difference between revisions

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== Imaging for Stone Disease ==
== Imaging for Stone Disease ==


=== Plain abdominal film ===
=== Plain Abdominal Film ===
* Can identify nephrocalcinosis, suggestive of RTA
* Can identify nephrocalcinosis, suggestive of RTA
* '''Radiolucent stones (6):'''
* '''Radiolucent stones (6):'''
** '''Uric acid'''
** '''Uric acid'''
** '''Matrix'''
** '''Matrix'''
** '''Medication stones (xanthine, triamterene, 2,8-dihydroxyadenine, indivir)'''
** '''Medication stones (4):'''
* '''Radioopaque stones: calcium oxalate, calcium phosphate, magnesium ammonium phosphate (struvite) and cystine stones'''
***'''Xanthine'''
** '''Although magnesium ammonium phosphate and cystine stones are often radioopaque, they are not as dense as calcium oxalate or calcium phosphate stones'''
***'''Triamterene'''
** Campbell’s says '''cystine stones''' radioopaque but other source (<nowiki>https://radiopaedia.org/articles/urolithiasis</nowiki>) says usually radiolucent. European Guidelines say they '''are''' '''poorly radioopaque'''§
***'''2,8-dihydroxyadenine'''
***'''Indivir'''
* '''Radioopaque stones (4):'''
**'''Calcium oxalate'''
**'''Calcium phosphate'''
**'''Poorly radioopaque:'''
***'''Magnesium ammonium phosphate (struvite)'''
***'''Cystine stones'''
**** '''Although magnesium ammonium phosphate and cystine stones are often radioopaque, they are not as dense as calcium oxalate or calcium phosphate stones'''
* Underestimates >90% of stones >10mm
* Underestimates >90% of stones >10mm