EverythingHealth is designed to address the rapid changes in Science, Medicine, Health and Healing in the 21st Century. This site will sift through the vast amount of confusing data and simplify issues that are of interest to everyone interested in a healthy life and longevity. The writings on EverythingHealth are entirely my own views and opinions.
Kidney stones (nephrolithiasis) affects 1 in 11 people in the U.S. Some say its the worst pain they have ever experienced. There are a number of causes for these stones, including diet, hereditary, chronic urinary infections, gastric bypass surgery or inflammatory bowel disease, and other medical conditions. Sometimes we just don't know the cause, although they are more prevalent in men than in women.
Patients with acute flank pan often show up in the emergency department with severe pain. Because other things can cause abdominal or back pain, patients will often undergo lots of tests (cat scans, ultrasounds etc) to determine the cause. The British Medical Journal has published a study that shows a clinical prediction rule that proved valid in determining that the patient did, in fact, have a kidney stone. Here is what they found:
Eight factors were associated with the presence of a ureteral stone. Each of them was assigned points: male sex (2 points)duration of pain-greate…