Do you rely on urinalysis testing for microscopic hematuria as a means to assess for a ureteral stone for patients with recurrent nephrolithiasis who report mild potential stone-related pain?
4 Answers
Mednet MemberInvited Expert
Nephrology · Medical College of Wisconsin
Answered on
I agree with answers posted already. Hematuria is not specific to a ureteral stone location.
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Mednet MemberInvited Expert
Nephrology · Mayo Clinic
Answered on
No. I think hematuria is nonspecific as regards ureteral stones. I use imaging, preferably CT, although ultrasound, looking for hydroureter or even KUB, if positive, would suffice.
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Nephrology · University of Chicago Medicine
Answered on
No. In a known stone former who presents with pain, the patient believes it is from a stone. I use visualization - US CT, depending on the details of the situation.
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Nephrology · U Chicago
Answered on
No. I would go to imaging, likely a US or possibly a CT.
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