We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Crossroads | Clinician's Corner

A 44-Year-Old Woman With Kidney Stones

Gary C. Curhan, MD, ScD, Discussant
JAMA. 2005;293(9):1107-1114. doi:10.1001/jama.293.9.1107.
Text Size: A A A
Published online


DR BURNS: Ms P is a 44-year-old woman with a history of morbid obesity and superficial thrombophlebitis who was diagnosed with kidney stones 1 month ago. She recently lost her medical insurance and is applying for free care. She is currently unemployed and lives with her daughter.

While on vacation in Jamaica, Ms P developed severe diarrhea without nausea, vomiting, or fever. After returning to the United States her diarrhea resolved, but she developed brown urine that lasted for several days. She subsequently developed bilateral intermittent low back pain that she treated with acetaminophen and ibuprofen with good relief. She denied any radiation of the pain or any associated weakness or numbness. She had no fever, dysuria, or urinary frequency. She never had similar symptoms in the past. She does not smoke and denies alcohol use.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Figure. Helical Computed Tomographic Scan of the Upper Abdomen
Graphic Jump Location

High-resolution helical computed tomographic image demonstrating a stone in the right renal pelvis and a smaller stone in the left kidney (arrowheads). There is no hydronephrosis.




You need to register in order to view this quiz.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles