Recommended for any of the following:
Intractable pain or vomiting
Proximal urinary tract infection, as evidence by:
Urosepsis:
Fever
Ill appearance, OR
Markedly elevated WBC
Single or transplanted kidney with obstruction
Acute renal failure
Hypercalcemic Crisis
Fever
Ill appearance, OR
Markedly elevated WBC
Also consider admission for patients with:
Solitary kidney or transplanted kidney without obstruction
Urinary extravasation
Significant medical comorbidities
Renal insufficiency
Severe underlying disease
Stone >10 mm
Sloughed renal papillae
Unclear/distal UTI
Ruptured renal capsule causing urinoma
pregnancy
children
Small stone, adequate analgesia, able to arrange urology follow up within 7d
Urolithiasis
Nephrolithiasis is most common misdiagnosis given to patients with rupturing AAA
Pyelonephritis
Vascular
Acute cystitis
Abdominal aortic aneurysm
Interstitial cystitis
Renal artery embolism