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Renal and ureteric stones: assessment and management pathway

A chapter-bounded Australian summary of renal and ureteric stones: assessment and management pathway, using exact named Queensland PCCM content and any exact national source listed on this page.

JurisdictionAustralia
Source check2026-08-20
Clinical reviewiatroX editorial team · Clinical editorial review · reviewed 2026-08-20 · due 2027-08-20
AudienceHealthcare professionals practising in Australia
This is an iatroX educational summary of named Australia sources, not an official guideline. It does not replace the complete source documents, local policy, specialist advice or clinical judgement. Queensland PCCM renal colic is a Queensland implementation source. Apply only the cited chapter scope and verify the equivalent state or territory pathway.

Scope

Acute renal and ureteric stone assessment bounded to the exact Queensland PCCM renal-colic chapter. This summary does not make long-term metabolic-testing, medical-expulsive-therapy or prevention recommendations.
sources for this section:Queensland PCCM renal colic

The Bottom Line

  • Use pain pattern, urinary symptoms, previous stones, observations and focused examination to assess suspected renal or ureteric colic.
  • Check urinalysis for haematuria and infection while recognising that a negative blood result does not rule out a stone.
  • Pregnancy status, kidney function, solitary kidney, infection and ability to maintain hydration change imaging and destination.
  • Confirm imaging, analgesia and antiemetic decisions through the current local emergency pathway and consulted clinician.
sources for this section:Queensland PCCM renal colic

Practical clinical workflow

1
Record pain onset and location, vomiting, fever, urine output, pregnancy possibility and relevant abdominal, flank and genital findings.
2
Obtain urine, kidney and infection assessment and imaging when indicated by the local pathway.
3
Consult urgently for suspected obstruction with infection or compromised kidney function and do not delay transfer for nonessential testing.
4
Arrange follow-up for unresolved obstruction or symptoms and use a separately sourced pathway for recurrence prevention.
sources for this section:Queensland PCCM renal colic

Safety boundaries and escalation

  • Infected obstruction, anuria, acute kidney injury, solitary-kidney obstruction, uncontrolled pain or vomiting requires urgent urological care.
  • This page makes no stone-size threshold, expulsive-therapy or 24-hour-urine recommendation because those decisions are outside the exact chapter.
sources for this section:Queensland PCCM renal colic

Implementation

Queensland PCCM renal colic is a Queensland source. It supplies an Australian implementation example, not a national rule. Confirm the equivalent pathway, referral destination and medicine policy in the patient’s state or territory. Check current TGA product information for medicines. Offer culturally safe care and use the NACCHO–RACGP National Guide where Aboriginal and Torres Strait Islander preventive or chronic-care recommendations differ.
sources for this section:Queensland PCCM renal colic

Clinical use boundary

This independently written summary is not an official guideline. Check the linked source version, current TGA-approved product information where medicines are involved, and the applicable state, territory and local pathway at the point of care.

sources for this section:Queensland PCCM renal colic

Source documents

Use the linked source documents for complete recommendations, evidence grading, exclusions and implementation detail.

  1. Queensland Health and Royal Flying Doctor Service Queensland SectionPrimary Clinical Care Manual, 12th edition: Renal colic — adult and childISBN 978-1-876560-22-5; Renal colic — adult and child, pp. 208–210 · 12th edition 2025, v1.03 with updates through 21 July 2026; exact chapter at printed pages 208–210 · accessed 2026-08-20
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