Kidneys Dx Nephrolithiasis Dx DDx (CT)

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Kidneys


2. Findings and Diagnosis


Kidney Stones nephrolithiasis
CT in the axial plane through the abdomen shows a punctate calcification in the right kidney, seemingly attached to the tip of the papilla and a similar but larger stone likely originating in the papilla and now extending into the contracted calyx .
Ashley Davidoff MD TheCommonVein.net
Key words kidney cortex medulla calcification nephrocalcinosis calcification RnD IF
Ashley Davidoff MD TheCommonVein.net 131525c
Category Reason
Metabolic Most kidney stones arise from metabolic imbalances, including:
– Hypercalciuria
– Hyperoxaluria
– Hyperuricemia
– Cystinuria

🔄 Secondary (Contributing) Categories Based on Etiology

Category When Applicable
Infectious If due to struvite stones from urease-producing bacteria (e.g., Proteus)
Inherited In cystinuria or primary hyperoxaluria (genetic conditions)
Mechanical When secondary to urinary obstruction or stasis (e.g., UPJ obstruction)
Iatrogenic Post-surgical or due to medications that promote stone formation
Idiopathic If no identifiable metabolic or structural cause is found

🧠 Summary Table – TCV Category Placement for Nephrolithiasis

Diagnosis Primary TCV Category Possible Secondary Categories
Nephrolithiasis Metabolic Infectious, Inherited, Mechanical, Iatrogenic, Idiopathic
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