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ALL / Nephrology

Renal stones: types

Renal stones: types

The table below summarises the appearance of different types of renal stone on x-ray

TypeFrequencyRadiograph appearance
Calcium oxalate40%Opaque
Mixed calcium oxalate/phosphate stones25%Opaque
Triple phosphate stones*10%Opaque
Calcium phosphate10%Opaque
Urate stones5-10%Radio-lucent
Cystine stones1%Semi-opaque, 'ground-glass' appearance
Xanthine stones<1%Radio-lucent

*stag-horn calculi involve the renal pelvis and extend into at least 2 calyces. They develop in alkaline urine and are composed of struvite (ammonium magnesium phosphate, triple phosphate). Ureaplasma urealyticum and Proteus infections predispose to their formation
+PassMedicine Notes

The table below summarises the appearance of different types of renal stone on x-ray

Type _ Frequency _ Radiograph appearance| Calcium oxalate _40%_ Opaque| Mixed calcium oxalate/phosphate stones _25%_ Opaque| Triple phosphate stones*_10%_ Opaque| Calcium phosphate _10%_ Opaque| Urate stones _5-10%_ Radio-lucent| Cystine stones_1%_ Semi-opaque, 'ground-glass' appearance| Xanthine stones _

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