ED Pathway for Evaluation and Treatment of Children with Suspected Nephrolithiasis
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Stone Visible on US
US Positive for Secondary Signs only
and
No Stone Visible
OR
US Negative / Inconclusive
and
High Clinical Suspicion
US Negative / Inconclusive
and
Low Clinical Suspicion
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Low dose, Unenhanced CT Stone Protocol
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Pain Control and Hydration
YES
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Positive for Nephrolithiasis?
NO
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YES
NO
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Urology Consult
Admission Criteria
Posted: October 2009
Revised: October 2011
Authors: M. Zonfrillo, MD, J. Lavelle, MD, J. Piro, RN, S. Kim, MD, K. Darge, MD
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References