Resumo
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
Other diagnostic factors
- nefrolitíase prévia
- dor no flanco
- hematúria
- sensibilidade no ângulo costovertebral
- disúria
- urgência urinária
- aumento na frequência de micção
- dor na virilha
Risk factors
- hemi-hipertrofia
- síndrome de Beckwith-Wiedemann
- Doença de Caroli
- fibrose hepática congênita
- síndrome de Ehlers-Danlos
- história familiar de doença renal policística
- doença renal crônica
- hipercalciúria
- sexo feminino
- hiperparatireoidismo
Diagnostic tests
1st tests to order
- urinálise
- urocultura
- ureia e creatinina
- eletrólitos séricos
- radiografia abdominal
- ultrassonografia renal
- urografia intravenosa
- tomografia computadorizada (TC) sem contraste
- urograma por tomografia computadorizada (TC)
Tests to consider
- monitoramento da urina de 24 horas
- análise do cálculo
Treatment algorithm
com infecção do trato urinário (ITU)
com nefrolitíase
Contributors
Authors
Michael J. Choi, MD
Associate Professor of Medicine
Clinical Director of Nephrology
Johns Hopkins University School of Medicine
Baltimore
MD
Disclosures
MJC declares that he has no competing interests.
David S. Goldfarb, MD
Clinical Chief
Division of Nephrology
New York University School of Medicine
New York VA Medical Center
New York
NY
Disclosures
DSG is an author of several references cited in this topic.
Acknowledgements
Dr Michael J. Choi and Dr David S. Goldfarb would like to gratefully acknowledge Dr Amaka Edeani, a previous contributor to this topic.
Disclosures
AE declares that she has no competing interests.
Peer reviewers
Khashayar Sakhaee, MD
Internal Medicine Physician
UT Southwestern Medical Center
Dallas
TX
Disclosures
KS declares that he has no competing interests.
Eric N. Taylor, MD, MSc
Assistant Professor of Medicine
Harvard Medical School
Renal Division
Brigham and Women's Hospital
Channing Laboratory
Boston
MA
Disclosures
ENT declares that he has no competing interests.
References
Key articles
Forster JA, Taylor J, Browning AJ, et al. A review of the natural progression of medullary sponge kidney and a novel grading system based on intravenous urography findings. Urol Int. 2007;78(3):264-9. Abstract
Imam TH, Patail H, Patail H. Medullary sponge kidney: current perspectives. Int J Nephrol Renovasc Dis. 2019;12:213-8.Full text Abstract
Gambaro G, Feltrin GP, Lupo A, et al. Medullary sponge kidney (Lenarduzzi-Cacchi-Ricci disease): a Padua Medical School discovery in the 1930s. Kidney Int. 2006 Feb;69(4):663-70. Abstract
Maw AM, Megibow AJ, Grasso M, et al. Diagnosis of medullary sponge kidney by computed tomographic urography. Am J Kidney Dis. 2007 Jul;50(1):146-50. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Acidose tubular renal distal
- Necrose papilar renal
- Tuberculose renal
More DifferentialsGuidelines
- Guidelines on urolithiasis
- Clinical guideline for urinary stone disease
More GuidelinesPatient information
Nefrolitíase
More Patient information
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