Kidney stone differential diagnosis
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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 | Laboratory abnormalities | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Nausea/vomiting | Hematuria | Location of pain | Fever | Tachycardia | Hypotension | Anorexia | Constipation | Rebound tenderness | Urinalysis | BUN | Creatinine | Stone analysis | Urine Beta- hCG | Liver Function tests | Serum Amylase/Lipase | Abdominal CT scan | |||
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 |