Richard G. Kachel, MD
To The Editor: I have been unable to find any reported association of acute elevation of creatine kinase with the passage of a renal stone. I wish to report the following case documenting this occurrence.
A 73-year-old white man developed sudden, severe, left flank pain. He came to the emergency department and a urinalysis showed microhematuria. An intravenous pyelogram showed a calcified stone in the right renal calyx and a second calcified stone partially obstructing the left ureter. The patient was given analgesics and was discharged. Because of intermittent, severe pain in the left flank and vomiting, he returned and
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Kachel RG. Ureterolithiasis and Creatine Kinase. Ann Intern Med. 1989;110:1036. doi: 10.7326/0003-4819-110-12-1036_1
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Published: Ann Intern Med. 1989;110(12):1036.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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