Who gets CT?

• Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones presenting with symptoms consistent with uncomplicated renal colic.
• If you do a CT in an older person (>50), you’ll find another source of the pain ~30% of the time

Who gets BMP?

• Single kidney + Concern for infection; Even if obstruction, other kidney can compensate

Who gets admitted?

• Stone + Infection
• AKI
• One Kidney/ Transplant
• Intractable symptoms
• Stone > 10 mm; Urology guidelines recommend admission. 

Outpatient Management

• Strainer for collection and to see if stone passed
  
• urology follow up + NSAIDS + return precautions
• +/- Flomax: ?benefit for > 6 mm but beware of dizziness and orthostatic hypotension

Will I get another stone?  

• 75% will get another in 20 years: 40% will get repeat in 1 year

Iced Tea caused my stones?

• Iced tea does not cause kidney stones, this is a misconception in general public
• Lifestyle modification: control sugar + lose weight + reduce sodium.