Emergency Department Clinical Pathway for Evaluation/Treatment
of Children with Suspected Nephrolithiasis
- Related Pathway
- Nephrolithiasis, Outpatient Specialty Care
- Related Order Set
- ED Urolithiasis
Stone Visible on US
US Positive for Secondary Signs only
and
No Stone Visible
and
High Clinical Suspicion
and
No Stone Visible
OR
US Negative/Inconclusiveand
High Clinical Suspicion
US Negative / Inconclusive
and
Low Clinical Suspicion
and
Low Clinical Suspicion
Low dose, Unenhanced CT Stone Protocol
Pain Control and Hydration
Urology Consult
Urology Consult
YES
Ureteral
Stone?
Stone?
YES
NO
Outpatient
Referral
to Urology
Referral
to Urology
Positive for Nephrolithiasis?
NO
YES
NO
Urology Consult
Admission Criteria
Admission Criteria
Inpatient
- Concern for infection: fever, UTI, sepsis
- Solitary Kidney
- Bilateral renal obstruction
- Renal insufficiency
- Kidney transplant
- Complex medical history
EDECU
EDECU admission criteria: Uncomplicated nephrolithiasis requiring IV pain control/hydration
Posted: October 2009
Revised: February 2023
Authors: M. Zonfrillo, MD; J. Lavelle, MD; J. Piro, RN; S. Kim, MD; K. Darge, MD; S. Back, MD; G. Tasian, MD
Revised: February 2023
Authors: M. Zonfrillo, MD; J. Lavelle, MD; J. Piro, RN; S. Kim, MD; K. Darge, MD; S. Back, MD; G. Tasian, MD
References
- Nephrolithiasis in Children
- Pediatric Nephrolithiasis
- Medical Evaluation and Treatment of Nephrolithiasis
- Tamsulosin and Spontaneous Passage of Ureteral Stones in Children: a Multi-institutional Cohort Study
- Use of and Regional Variation in Initial CT Imaging for Kidney Stones
- Evaluation and Medical Management of Kidney Stones in Children
- Evaluation of a Child with Suspected Nephrolithiasis
- Evaluating Natural History and Follow-up Strategies for Non-obstructive Urolithiasis in Pediatric Population
- Pediatric Stone Disease