How to diagnose urinary stones accurately

  The main symptoms of urinary stones are lumbar and abdominal pain, urinary frequency and urgency, and hematuria as their clinical manifestations. Due to the size, shape, location, smooth or rough surface of the stones, the degree, duration and extent of pain vary. During physical examination, abdominal pressure pain or refusal to press, and percussion pain in the affected kidney area are obvious. A history of similar disease attacks or a history of stone discharge provides a basis for clinical diagnosis and disease differentiation. However, these are only physical diagnoses, and strong evidence is still lacking. Only the physical and chemical examination results can help doctors find the basis and answer for disease diagnosis. What tests are needed for urinary stones?  1.B ultrasound: ultrasound examination is the first choice for urinary stones. It is non-invasive, convenient, and can be repeatedly checked, and its detection rate is over 95%. The size, approximate number, location, degree of hydronephrosis and ureteral dilatation of stones are clearly visible on ultrasound.  2.KUB, IVP: Clinically, ultrasound and KUB (X-ray abdominal plain film) are often used. As a dual diagnosis of urinary stones to complement each other, abdominal plain film requires bowel clearance before examination, but it is difficult to detect stones with low calcium content (negative stones). The detection rate of positive stones is high, and the examination of ureteral stones is better than ultrasound. IVP (renal secretogram) can understand stones, kidney function, and whether there is obstruction and stricture of ureter, malformation, etc.  3.CT, MRI, cystoscopy and retrograde imaging: if necessary, urological examination can be done to help diagnose or exclude other disorders such as ureter and bladder.  4. Blood and urine routine: blood leukocytes are normal or elevated, and neutrophils are elevated. Urine routine can be seen as red blood cells, white blood cells, occult blood (1+ – 4+), or positive urine protein, etc.  According to the results of all physical and chemical examinations, combined with clinical symptoms and signs, the diagnosis of urinary stones will be made only with sufficient evidence. Its treatment plan and treatment can only be accurate and error-free.