The Cardiovascular
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STONE Score for Uncomplicated Ureteral Stone

Predicts likelihood of an uncomplicated ureteral stone in flank pain.

STONE Score for Uncomplicated Ureteral Stone
Sex
Onset of pain (duration before presentation)
Race / origin
Nausea and vomiting
Microscopic haematuria on dipstick/urinalysis
Result0 points

Low probability of ureteral stone (about 9%).

Probability of stone
about 9%

When to use

  • Estimating the probability of an uncomplicated ureteral stone in adults with acute flank pain.

Formula

Sex (male 2) + timing (<6 h = 3, 6-24 h = 1) + origin (non-black 3) + nausea (vomiting 2, nausea 1) + microscopic haematuria (3). Range 0-13. Low 0-5, moderate 6-9, high 10-13.

Pearls and pitfalls

  • High scores make important alternative diagnoses less likely and may reduce the need for CT imaging.

References

  1. Moore CL, et al. BMJ. 2014;348:g2191.