Kidney stone differential diagnosis: Difference between revisions
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! rowspan="2" |Disease | ! rowspan="2" |Disease | ||
! rowspan="2" |History | ! rowspan="2" |History | ||
! colspan=" | ! colspan="10" |Signs and Symptoms | ||
! colspan=" | ! colspan="3" |Physical Examination | ||
! colspan="10" |Laboratory abnormalities | |||
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|Nausea/vomiting | |Nausea/vomiting | ||
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|Constipation | |Constipation | ||
|Rebound tenderness | |Rebound tenderness | ||
|Urinary frequency/Urgency/Dysuria | |||
|Costovetebral angle tenderness | |||
|Pelvic Examination | |||
|Rectal Examination | |||
|Complete Blood Count (CBC) | |||
|Urinalysis | |Urinalysis | ||
|BUN | |BUN | ||
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|Stone analysis | |Stone analysis | ||
|Urine Beta- hCG | |Urine Beta- hCG | ||
|Liver Function tests | |Liver Function tests (LFTs) | ||
|Serum Amylase/Lipase | |Serum Amylase/Lipase | ||
|Abdominal CT scan | |Abdominal CT scan | ||
|Serum Parathyroid hormone levels (PTH) | |||
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| rowspan=" | | rowspan="6" |Renal Pathology | ||
|Nephrolithiasis | |Nephrolithiasis | ||
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|Pyelonephritis | |||
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|Renal infarct | |||
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|Renal | |Renal papillary necrosis | ||
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|Renal cell carcinoma | |||
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|Uretral stricture | |||
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| rowspan="3" |Gynecological Pathology | | rowspan="3" |Gynecological Pathology | ||
|Pelvic inflammatory disease | |Pelvic inflammatory disease | ||
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|Ovarian torsion | |Ovarian torsion | ||
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|Ectopic pregnancy | |Ectopic pregnancy | ||
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| rowspan="2" |Prostate Pathology | | rowspan="2" |Prostate Pathology | ||
|Prostatitis | |Prostatitis | ||
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|Prostatic cancer | |Prostatic cancer | ||
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| rowspan="2" |Testicular Pathology | | rowspan="2" |Testicular Pathology | ||
|Testicular torsion | |Testicular torsion | ||
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|Orchitis | |Orchitis | ||
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| rowspan=" | | rowspan="7" |Abdominal Pathology | ||
|Cholecystitis | |Cholecystitis | ||
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|Appendicitis | |Appendicitis | ||
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|Diverticulitis | |Diverticulitis | ||
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|Abdominal aortic aneurysm | |Abdominal aortic aneurysm | ||
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|Portal vein thrombosis | |||
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|Duodenal ulcer | |||
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|Ischemic colitis | |||
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Revision as of 01:36, 14 May 2018
Kidney stone Microchapters |
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Kidney stone differential diagnosis On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
Differentiating Nephrolithiasis from other Diseases
Nephrolithiasis should be differentiated from other conditions presenting with acute flank or upper abdominal pain, hematuriua, nausea and vomiting. The differentials include the following:
Category | Disease | History | Signs and Symptoms | Physical Examination | Laboratory abnormalities | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Nausea/vomiting | Hematuria | Location of pain | Fever | Tachycardia | Hypotension | Anorexia | Constipation | Rebound tenderness | Urinary frequency/Urgency/Dysuria | Costovetebral angle tenderness | Pelvic Examination | Rectal Examination | Complete Blood Count (CBC) | Urinalysis | BUN | Creatinine | Stone analysis | Urine Beta- hCG | Liver Function tests (LFTs) | Serum Amylase/Lipase | Abdominal CT scan | Serum Parathyroid hormone levels (PTH) | |||
Renal Pathology | Nephrolithiasis | ||||||||||||||||||||||||
Pyelonephritis | |||||||||||||||||||||||||
Renal infarct | |||||||||||||||||||||||||
Renal papillary necrosis | |||||||||||||||||||||||||
Renal cell carcinoma | |||||||||||||||||||||||||
Uretral stricture | |||||||||||||||||||||||||
Gynecological Pathology | Pelvic inflammatory disease | ||||||||||||||||||||||||
Ovarian torsion | |||||||||||||||||||||||||
Ectopic pregnancy | |||||||||||||||||||||||||
Prostate Pathology | Prostatitis | ||||||||||||||||||||||||
Prostatic cancer | |||||||||||||||||||||||||
Testicular Pathology | Testicular torsion | ||||||||||||||||||||||||
Orchitis | |||||||||||||||||||||||||
Abdominal Pathology | Cholecystitis | ||||||||||||||||||||||||
Appendicitis | |||||||||||||||||||||||||
Diverticulitis | |||||||||||||||||||||||||
Abdominal aortic aneurysm | |||||||||||||||||||||||||
Portal vein thrombosis | |||||||||||||||||||||||||
Duodenal ulcer | |||||||||||||||||||||||||
Ischemic colitis |