• Count and measure the stones.  If more than three, give an aggregate measurement and the greatest diameter of the largest stone.
• Describe (shape, color, surface texture, friability).
• Submit all for chemical analysis, whether or not this was requested by the surgeon.

Not applicable.

Internal use only

Received without fixative/in formalin, labeled _____ and “_____”, are seven _____ (color, shape, surface texture) intact and fragmented stones measuring in aggregate __ x __ x __ cm.  The largest is an intact stone measuring __ cm in greatest diameter.  Entirely submitted for chemical analysis.  Gross only.