The evaluation of a kidney stone begins with a history and physical examination.

Physical findings in someone with a kidney stone may include:

• Hematuria:
• Blood in the urine
• Blood clots in the urine
• Red or pink urine
• Flank tenderness
• Inability to be rest, secondary to severe flank pain

Tests that may be used to evaluate a kidney stone include:

• Ultrasound of the abdomen
• CT scanning of the abdomen
• Intravenous pyelogram
• Complete blood count
• Kidney profile
• Urinalysis
• Urine culture
• Kidney stone analysis: the chemical composition of a kidney stone may help guide treatment. Stones may contain:
• Calcium
• Oxalate
• Triple phosphate
• Uric acid