Home › Clinical Tools › STONE

🪨 STONE Score (Ureteral Stone Probability)

UseEstimate stone probability in acute flank pain.

Loading calculator…

SourceMoore CL, et al. BMJ 2014

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

0–5 low, 6–9 moderate, 10–13 high.

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

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

SexFemale (0)
Duration of pain6–24 h (1)
RaceNon-black (3)
Nausea/vomitingNausea alone (1)
Microscopic haematuriaAbsent (0)

→STONE5/13

  • Probability of stone:Low probability
  • Note:Consider imaging and look for alternative diagnoses.
SexFemale (0)
Duration of pain< 6 h (3)
RaceNon-black (3)
Nausea/vomitingNone (0)
Microscopic haematuriaAbsent (0)

→STONE6/13

  • Probability of stone:Moderate probability
  • Note:Consider imaging and look for alternative diagnoses.
Verification & sources · governance
FAQ

Frequently asked questions

What are the limits and cautions when using STONE Score (Ureteral Stone Probability)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does STONE Score (Ureteral Stone Probability) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is STONE Score (Ureteral Stone Probability) calculated in practice? Can you show a worked example?
Inputs: Sex Female (0), Duration of pain 6–24 h (1), Race Non-black (3), Nausea/vomiting Nausea alone (1), Microscopic haematuria Absent (0) → Result: STONE 5 /13(Probability of stone: Low probability, Note: Consider imaging and look for alternative diagnoses.) Inputs: Sex Female (0), Duration of pain < 6 h (3), Race Non-black (3), Nausea/vomiting None (0), Microscopic haematuria Absent (0) → Result: STONE 6 /13(Probability of stone: Moderate probability, Note: Consider imaging and look for alternative diagnoses.)
Related tools