Última revisão: 26 Jan 2021
Última atualização: 12 Set 2018

Resumo

Definição

História e exame físico

Outros fatores diagnósticos

  • episódios prévios de nefrolitíase
  • náuseas e vômitos
  • polaciúria/urgência urinária
  • hematúria
  • dor testicular
  • obesidade
  • história familiar de nefrolitíase
  • 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 de nefrolitíase
  • medicamentos precipitadores

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • urinálise
  • hemograma completo e diferencial
  • eletrólitos séricos, ureia e creatinina
  • teste de gravidez na urina
  • tomografia computadorizada helicoidal sem contraste
  • análise do cálculo

Investigações a serem consideradas

  • radiografia abdominal simples (RUB, rins, ureteres e bexiga)
  • ultrassonografia renal
  • pielograma intravenoso (PIV)
  • ressonância nuclear magnética (RNM)
  • monitoramento da urina de 24 horas
  • amostra de urina para cistina

Algoritmo de tratamento

Colaboradores

Assistant Professor

Department of Urology

University of Texas Southwestern Medical Center

Dallas

TX

Declarações

JA has received a grant for being a member of the Scientific Advisory Board for Boston Scientific, a company that manufactures products for kidney stone surgery. 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

Declarações

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.

RevisoresVER TUDO

Associate Professor

Department of Family Medicine

University of Texas Health Science Center

Tyler

TX

Declarações

RT declares that he has no competing interests.

Associate Professor of Medicine

Division of Nephrology

University of California at San Francisco

CA

Declarações

LF declares that she has no competing interests.

Assistant Professor

Chicago Medical School

Rosalind Franklin University

Lombard

IL

Declarações

IM declares that he has no competing interests.

Consultant Urological Surgeon

Spire Manchester Hospital

Manchester

UK

Declarações

NR declares no competing interests.

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