An adolescent has right-sided flank pain without fever. A dipstick urinalysis reveals gross hematuria without signs of infection or bacteriuria, and the primary care pediatric nurse practitioner diagnoses possible nephrolithiasis. What is the initial treatment for this condition?

Question

Quizplus · Accepted Answer

Increasing fluid intake up to 2 L daily is the initial treatment for nephrolithiasis. This helps to flush out small stones and prevent the formation of new ones. ESWL, percutaneous removal of renal calculi, and referral to a pediatric nephrologist may be considered if the stones do not pass on their own or if complications arise.

An Adolescent Has Right-Sided Flank Pain Without Fever