Calculus (medicine) - Diagnosis

Diagnosis

Diagnostic workup varies by the stone type, but in general:

  • Clinical history and physical examination can be sufficient in some cases.
  • Imaging studies are often needed.
    • Some stone types (mainly those with substantial calcium content) can be detected on X-ray and CT scan.
    • Many stone types can be detected by ultrasound.
  • Factors contributing to stone formation (as in #Etiology) are often tested:
    • Laboratory testing can give levels of relevant substances in blood or urine.
    • Some stones can be directly recovered (at surgery, or when they leave the body spontaneously) and sent to a laboratory for analysis of content.

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