A Caucasian man aged 25 years had sudden bilateral inguinal and occasional periumbilical pain. [ncbi.nlm.nih.gov]

In renal colic there is generally severe pain leading from the kidneys down through the abdomen and groin. [britannica.com]

The medical term for kidney stones is nephrolithiasis, and if they cause severe pain it's known as renal colic. Symptoms of kidney stones Small kidney stones may go undetected and be passed out painlessly in the urine. [nhs.uk]

A small stone may pass out without causing symptoms but if it grows to more than 5mm it can cause severe pain. Hope you enjoy the video and understand the genesis and management of kidney stones. [uskeys.net]

Some people with severe pain from kidney stones need to stay in the hospital. You may need to get fluids through an IV into your vein. [medlineplus.gov]

A 64-year-old man with HIV on antiretroviral therapy (including atazanavir, a protease inhibitor) presented with left flank pain, nausea and vomiting. [ncbi.nlm.nih.gov]

Diagnosis and differential diagnosis Diagnostic criteria Signs and symptoms of nephrolithiasis include: Sudden onset of severe pain, arising from the flank and radiating to the groin Possible writhing and pacing, depending on level of obstruction Nausea [cancertherapyadvisor.com]

Administer anti-emetics as indicated for nausea. Maintaining Urine Flow 1. Administer fluids orally or I.V. (if vomiting) to reduce concentration of urinary crystalloids and ensure adequate urine output. 2. [slideshare.net]

Nausea and vomiting are common. Renal Calculi [omicsonline.org]

A 64-year-old man with HIV on antiretroviral therapy (including atazanavir, a protease inhibitor) presented with left flank pain, nausea and vomiting. [ncbi.nlm.nih.gov]

Management Antepartum/Intrapartum/Postpartum Obtain IV access and aggressive hydration (patients often have dehydration due to vomiting and decrease po intake). IV narcotics (Morphine, meperidine, or butorphanol are most common) for pain control. [cancertherapyadvisor.com]

(if vomiting) to reduce concentration of urinary crystalloids and ensure adequate urine output. 2. Monitor total urine output and patterns of voiding. Report oliguria or anuria. 3. [slideshare.net]

Nausea and vomiting are common. Renal Calculi [omicsonline.org]

Kidney stone pain may be accompanied by other signs and symptoms like nausea, vomiting, dizziness, bloody urine (hematuria), straining and pain/burning upon urination. [healthhype.com]

Patients receiving a high dose of ceftriaxone and developing colicky abdominal pain should be considered for ultrasound and a change in antibiotic therapy if appropriate. [ncbi.nlm.nih.gov]

flank pain, upper abdominal pain Middle section of ureter Renal colic, anterior abdominal pain, flank pain Distal ureter Renal colic, dysuria, urinary frequency, anterior abdominal pain, flank pain Distal ureteral stones may be manifested by bladder [aafp.org]

Patients with kidney stones often present with renal colic, hematuria or vague abdominal pain, acute abdominal or flank pain, nausea, difficulty urinating, penile pain or testicular pain. [academictransfer.com]

CONCLUSIONS: Nephrolithiasis is a rare complication of pediatric DKA, and should be considered in children with DKA who develop hematuria, flank pain, or suprapubic pain. [ncbi.nlm.nih.gov]

These symptoms include suprapubic pain, urinary frequency, urgency, dysuria, stranguria, pain at the tip of the penis, and sometimes various bowel symptoms, such as diarrhea and tenesmus. [emedicine.medscape.com]

Suprapubic pain along with urinary urgency and frequency suggests a distal ureteral, ureterovesical, or bladder calculus (see Obstructive Uropathy: Symptoms and Signs). [msdmanuals.com]

A 36-year-old man was admitted to hospital due to right flank pain as a result of ureteral stones. He had been followed up for type 1 glycogen storage disease since the age of 11 years. [ncbi.nlm.nih.gov]

After 8 months of treatment with dorzolamide, she noted polyuria and right flank pain, which prompted her to seek evaluation by a local physician. [jamanetwork.com]

Case A 39-year-old woman presented to the ED with a chief complaint of intermittent right flank pain that radiated into her groin area. She stated the pain had begun suddenly, 4 hours prior to arrival, and was accompanied by nausea and vomiting. [mdedge.com]

Dysuria (burning pain on micturation) Tachycardia Decreased blood pressure – can lead to septic shock. [almostadoctor.co.uk]

Obtain vital signs, and monitor for fever and symptoms of impending sepsis (tachycardia, hypotension). [slideshare.net]

This may be accompanied by nausea, vomiting, tachycardia Bladder stone Characterised by dysuria( pain or burning during micturition), frequency and urgency 6. [de.slideshare.net]

Vital signs during an episode of renal colic may indicate hypertension and tachycardia, but patients should not be febrile. Fever may suggest UTI, pyelonephritis or even pyonephrosis if kidney is obstructed. [cancertherapyadvisor.com]

Diagnosis of PXE was made by yellow papules on the neck and ophthalmologic angioid streaks. This diagnosis was confirmed by a skin biopsy (Von Kossa stain) and by genotyping analysis of ABCC6 (homozygous mutation R1138Q). [ncbi.nlm.nih.gov]

The patients are usually restless and agitated. Diagnosis & Laboratory Investigations of Nephrolithiasis Urine Examination Image: “Calcium oxalate crystals: Envelope and dumbbell shaped crystals in the urine” by Doruk Salancı. [lecturio.com]

There was a family history of renal stones in both maternal and paternal grandparents and of microscopic hematuria in the mother. There was no associated urinary flow obstruction and the hematuria remitted spontaneously. [ncbi.nlm.nih.gov]

A 64-year-old man with HIV on antiretroviral therapy (including atazanavir, a protease inhibitor) presented with left flank pain, nausea and vomiting. [ncbi.nlm.nih.gov]

The authors review appropriate workup and treatment for patients presenting with signs and symptoms of flank pain consistent with renal colic. [mdedge.com]

There was a family history of renal stones in both maternal and paternal grandparents and of microscopic hematuria in the mother. There was no associated urinary flow obstruction and the hematuria remitted spontaneously. [ncbi.nlm.nih.gov]

Gross or microscopic hematuria is found in 33% to 90% of children who have urolithiasis and occurs equally across age groups. Urinary tract infection frequently is the presenting sign of urolithiasis in preschool-age children. [pedsinreview.aappublications.org]

The STONE score was mentioned. 08:30 Q2: Can you address generalizability issues in this 15-center study whereby the cohort has 40% with a history of previous kidney stones and only 60% demonstrating microscopic hematuria. [aliem.com]

Are in kidney failure, and have not had a liver biopsy or DNA testing but also have very high blood oxalate levels and evidence of oxalate deposits in body tissues. [rarediseasesnetwork.org]

Besides pain (often described as the worst ever experienced), stones lead to costly surgical interventions, loss of work and the long-term complication of kidney failure, requiring dialysis or transplantation. [mayo.edu]

Furth CJASN March 2016, 11 (3) 488-496; DOI: Add to Selected Citations Predictors of Incident ESRD among Patients with Primary Hyperoxaluria Presenting Prior to Kidney Failure Fang Zhao, Eric J. Bergstralh, Ramila A. Mehta, Lisa E. Vaughan, Julie B. [cjasn.asnjournals.org]

By 15 years of even mild high calcium, 80% of patients will have some renal failure, usually it is Stage III kidney failure at this time. We have a blog discussing kidney failure and stones which includes x-rays and pictures. [parathyroid.com]

If stones are severe, persistent, or come back again and again, there may be signs of kidney failure. Straining the urine may capture urinary tract stones when they are excreted. Analysis of the stone shows the type of stone. [endocrinesurgery.ucla.edu]

Anubha Sikka Indications • Patient c/o left renal pain with mild burning micturition • Investigations- USG abdomen • Left ureterovesical junction causing mild hydroureteronephrosis, 7mm in size at lower end of left ureter Prescription Berb vulgaris 30 [de.slideshare.net]

Spinal transmission of renal pain signals occurs primarily through the ascending spinothalamic tracts. Nephrolithiasis: acute renal colic. Nerve supply of the kidney. Nephrolithiasis: acute renal colic. Nerve supply of the kidney. [emedicine.medscape.com]

MalaCards based summary : Nephrolithiasis, Calcium Oxalate, also known as nephrolithiasis, is related to nephrolithiasis, uric acid and nephrolithiasis/osteoporosis, hypophosphatemic, 1, and has symptoms including renal pain An important gene associated [malacards.org]

The aim of this study was to compare urine and serum metabolic compositions in IPAA patients with nephrolithiasis and controls with IPAA and no nephrolithiasis. [ncbi.nlm.nih.gov]

The presence of pyuria, however, has only moderate accuracy in identifying UTIs in patients with kidney stones.4 If an infected stone cannot be excluded clinically, computed tomography (CT) is indicated. [mdedge.com]

Laboratory tests WBC: suggests concomitant UTI Serum urea nitrogen and creatinine: suggests acute kidney injury Urine dipstick and urinalysis Gross or microscopic hematuria Pyuria, positive leukocyte esterase, positive nitrites, or bacteriuria (suggests [amboss.com]

He is of feeble health usually or disabled for active labor, has backache or constant pain and hematuria or pyuria. [henriettes-herb.com]

Midstream specimen of urine for microscopy (pyuria suggests infection), culture and sensitivities. Blood for FBC, CRP, renal function, electrolytes, calcium, phosphate and urate, creatinine. [patient.info]

Contd…  Urinalysis :hematuria and pyuria; pH 5.5 indicates uric acid stone; 7.5 indicates struvite stone; urine culture and drug sensitivity studies to detect infection.  Serum kidney function tests, electrolytes, calcium, phosphorus, uric acid, and [slideshare.net]