Kidney Stones (Uric Acid)

Overview


Plain-Language Overview

Kidney Stones (Uric Acid) are hard deposits that form in the kidneys when there is too much uric acid in the urine. These stones affect the urinary system, which includes the kidneys, ureters, bladder, and urethra. When stones block the flow of urine, they can cause severe pain, often felt in the side or back. Other symptoms may include blood in the urine and frequent urination. The stones can sometimes pass on their own, but larger stones may cause complications or require medical treatment.

Clinical Definition

Kidney Stones (Uric Acid) are crystalline concretions formed primarily from uric acid, a product of purine metabolism, precipitating in the renal collecting system. The pathogenesis involves persistently acidic urine pH (<5.5), which decreases uric acid solubility, leading to stone formation. Risk factors include hyperuricemia, dehydration, and metabolic conditions such as gout or tumor lysis syndrome. These stones are radiolucent on plain X-rays but visible on CT scans. Clinically, they cause renal colic, hematuria, and potential urinary obstruction, which can lead to infection or renal damage if untreated.

Inciting Event

Locked content

Latency Period

Locked content

Diagnostic Delay

Locked content

Clinical Presentation


Signs & Symptoms

Locked content

History of Present Illness

Locked content

Past Medical History

Locked content

Family History

Locked content

Physical Exam Findings

Locked content

Diagnostic Workup


Diagnostic Criteria

Locked content

Pathophysiology


Key Mechanisms

Locked content

Organs

Locked content

Tissues

Locked content

Cells

Locked content

Chemical Mediators

Locked content

Treatments


Pharmacological Treatments

Locked content

Non-pharmacological Treatments

Locked content

Prevention


Pharmacological Prevention

Locked content

Non-pharmacological Prevention

Locked content

Outcome & Complications


Complications

Locked content

Short-term Sequelae

Locked content

Long-term Sequelae

Locked content

Differential Diagnoses


Differentials

Locked content

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.