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SYMPOSIUM
Year : 2010  |  Volume : 26  |  Issue : 4  |  Page : 531-535

Evaluation of pediatric nephrolithiasis


1 Department of Urology, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA
2 Department of Urology, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA

Correspondence Address:
Caleb P Nelson
Department of Urology, Children's Hospital Boston, 300 Longwood Avenue, HU-355 Boston, MA 02115
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.74453

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Nephrolithiasis in the pediatric population is an important cause of morbidity worldwide. Presenting signs and symptoms are often considerably different from those in adults. Vague abdominal pain, hematuria, and urinary tract infection are more common in children than the classic colicky flank pain. Imaging of suspected cases should be undertaken with careful consideration of diagnostic accuracy and the potentially harmful effects of ionizing radiation. Because children with nephrolithiasis have a high chance of recurrent stone formation, a thorough risk assessment and metabolic evaluation should be performed. This review discusses the presentation, acute evaluation and risk assessment of nephrolithiasis in the pediatric population.


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