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🪨 STONE Score (Ureteral Stone Probability)

Predict an uncomplicated ureteral stone with the STONE score.

STONE Score (Ureteral Stone Probability)

Sex
Duration of pain
Race
Nausea/vomiting
Microscopic haematuria

When to use

Estimate stone probability in acute flank pain.

How it works

Sex (male 2), Timing (< 6 h 3 / 6–24 h 1), Origin/race (non-black 3), Nausea (vomiting 2 / nausea 1), Erythrocytes/haematuria (3). 0–13.

Key points

  • 0–5 low, 6–9 moderate, 10–13 high.
  • High scores may reduce immediate CT use.
  • Stay alert for serious mimics (AAA, pyelonephritis).

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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