Resumo
Definição
História e exame físico
Outros fatores de diagnóstico
- episódios prévios de nefrolitíase
- náuseas e vômitos
- polaciúria/urgência urinária
- hematúria
- dor testicular
- obesidade
- história familiar
- medicamentos precipitadores
- dor na virilha
- febre
- taquicardia
- hipotensão
- sensibilidade no ângulo costovertebral e no flanco ipsilateral
Fatores de risco
- ingestão elevada de proteína
- ingestão elevada de sal
- ascendência branca
- sexo masculino
- desidratação
- obesidade
- cristalúria
- exposição ocupacional à desidratação
- clima quente
- história familiar
- medicamentos precipitadores
Exames diagnósticos
1° exames a serem solicitados
- urinálise
- hemograma completo e diferencial
- eletrólitos séricos, ureia e creatinina
- teste de gravidez na urina
- tomografia computadorizada helicoidal sem contraste
- análise do cálculo
Exames a serem considerados
- radiografia abdominal simples (RUB, rins, ureteres e bexiga)
- ultrassonografia renal
- pielograma intravenoso (PIV)
- monitoramento da urina de 24 horas
- amostra de urina para cistina
Algoritmo de tratamento
Colaboradores
Autores
Assistant Professor
Department of Urology
University of Texas Southwestern Medical Center
Dallas
TX
Divulgações
JA is a member of the Scientific Advisory Board for Boston Scientific. JA has received a research grant from the US National Institutes of Health to study strategies to reduce recurrence of nephrolithiasis and reduce stent-associated pain.
Associate Program Director
Associate Professor
University of Texas Southwestern Medical Center
Dallas
TX
Divulgações
NM has received a research grant from the US National Institutes of Health to study strategies to reduce recurrence of nephrolithiasis and reduce stent-associated pain.
Dr Jodi Antonelli and Dr Naim Maalouf would like to gratefully acknowledge Dr Brian Eisner, Dr Michael E. Lipkin, Dr Muhammad Iqbal, Dr Keith Xavier, and Dr Mantu Gupta, previous contributors to this monograph. BE has received fees for consulting from Boston Scientific, Olympus/Gyrus ACMI, PercSys, and The Ravine Group. MEL declares that he is a consultant for Boston Scientific Corporation. MI, KX, and MG declare that they have no competing interests.
Colegas revisores
Associate Professor
Department of Family Medicine
University of Texas Health Science Center
Tyler
TX
Divulgações
RT declares that he has no competing interests.
Associate Professor of Medicine
Division of Nephrology
University of California at San Francisco
CA
Divulgações
LF declares that she has no competing interests.
Assistant Professor
Chicago Medical School
Rosalind Franklin University
Lombard
IL
Divulgações
IM declares that he has no competing interests.
Consultant Urological Surgeon
Spire Manchester Hospital
Manchester
UK
Divulgações
NR declares no competing interests.
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