POPULATION | CLINICAL PRESENTATION | NO IMAGING | POCUS | RPUS | RDCT |
---|---|---|---|---|---|
Young adults (age about 35 y) | History of kidney stones and typical presentation | ✓ | ✓* | ||
No history of kidney stones and typical presentation | ✓* | ✓† | |||
History of kidney stones and atypical presentation | ✓‡ | ✓ | |||
No history of kidney stones and atypical presentation | ✓ | ||||
Pregnant or pediatric | No history of kidney stones and typical presentation | ✓* | |||
Middle-aged adults (age about 55 y) | History of kidney stones and typical presentation | ✓ | ✓ | ||
No history of kidney stones or atypical presentation | ✓ | ||||
Older adults (age about 75 y) | All clinical presentations | ✓ | |||
Any adult | Inadequate pain relief | ✓ |
CT—computed tomography, POCUS—point-of-care ultrasound, RDCT—reduced-radiation-dose computed tomography, RPUS—radiology-performed ultrasound.
↵* No follow-up imaging regardless of presence or absence of hydronephrosis.
↵† Consider POCUS or RPUS in female patients.
↵‡ Consider RDCT if hydronephrosis is absent.
Data from Moore et al.13