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Nephrolithiasis, Suspected — Complete History and Physical — Clinical Pathway: Emergency

Nephrolithiasis Clinical Pathway — Emergency Department

Complete History and Physical

History
  • Abdominal, flank, penile, scrotal, or vaginal pain
  • Hematuria
  • Nausea/Vomiting
  • Dysuria
  • 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
High Risk
Medications
  • Topiramate
  • Zonisamide
  • Acetazolamide
  • Ketogenic diet
  • Furosemide
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