ED Pathway for Evaluation and Treatment of Children with Suspected Nephrolithiasis

Complete History and Physical

History

  • Abdominal, flank, penile, scrotal, or vaginal pain
  • Hematuria
  • Dysuria
  • Nausea or vomiting
  • Urine output
  • Fever
  • Known urinary tract infection
  • Colic in infants

Pertinent
Past
History

  • Nephrolithiasis
  • Urological surgeries
  • Metabolic disorders, including hypercalciuria or hypocitraturia

Family History

  • Nephrolithiasis

Physical Examination

  • Abdominal exam
  • CVA tenderness
  • GU exam