UROLITHIASIS CASE STUDY SCRIBD

The decision making process can be simplified by stratifying stones into clinical categories based on location renal or ureteral and complexity simple or complex. Previous kidney disease History of urinary tract infection or pyelonephritis, or both Family history of urolithiasis Detailed history of previous stone events Treatment Stone analysis. Distal ureteral calculi Although the likelihood of spontaneous passage of stones is highest in the distal ureter, intervention with ureteroscopy or shock wave lithotripsy is often necessary. Holdgate A, Pollock T. Ureteritis cystica causing obstruction. National Kidney Foundation www. Although shock wave lithotripsy is the most common treatment for urolithiasis, it can have side effects.

A critical review of extracorporeal shock-wave lithotripsy failures. JEL reviewed, revised, and approved the final paper and will serve as guarantor. J Endourol ; Other important features are a personal or family history of kidney stones with previous treatments and stone analysis, and any anatomical abnormalities or surgery of the urinary tract box 1. Ureteral calculi Ureteral calculi most commonly present with symptoms of acute renal colic. Staghorn calculi should be treated, and percutaneous nephrolithotomy is the preferred treatment in most patients. Acute renal colic from ureteral calculus.

JEL has been a consultant and advisor for Lumenis and Olympus; meeting participant and lecturer for Karl Storz; and an investigator and lecturer for Boston Scientific. The fundamental principle guiding treatment selection is to maximise stone clearance while minimising patient morbidity.

urolithiasis case study scribd

Measurement of serum calcium, bicarbonate, creatinine, chloride, potassium, magnesium, phosphate, and uric acid. Volume, pH, calcium, oxalate, citrate, uric acid, phosphate, sodium, potassium, magnesium, ammonium, chloride, sulfate, and creatinine. Recurrence after a single renal stone in a community practice. Published online Apr Alternatively, some clinicians prefer to use computed tomography in the follow-up of kidney stones, particularly when the stone is radiolucent. International Kidney Stone Institute www.

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A more detailed metabolic evaluation is best performed after the acute stone event has resolved.

Volume, pH, calcium, oxalate, citrate, uric acid, phosphate, sodium, potassium, magnesium, ammonium, chloride, sulfate, and creatinine Cystine screen Measurement of serum calcium, bicarbonate, creatinine, chloride, potassium, magnesium, phosphate, and uric acid Measurement of blood urea nitrogen In cystinuric patients, evaluation as above and 24 hour measurement of cystine In hypercalcaemic patients, intact parathyroid hormone and 1,25 dihydroxyvitamin D.

Acute renal colic from ureteral calculus. Journal List Urklithiasis v.

urolithiasis case study scribd

Prospective, randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less. Small filling defects and a bead-like appearance with regular surfaces in the ureter and renal pelvis are casd typical findings demonstrated in intravenous or retrograde pyelogram. The characteristics of the stones size, number, location, and composition stduy, renal anatomy, and clinical factors are all considered when selecting a treatment approach for renal calculi.

Strategies for improved shock wave lithotripsy. The likelihood of spontaneous passage decreases as stone size increases. Nicole L Millerfellow in endourology and minimally invasive surgery and James E Lingemanphysician and surgeon. Ureteral stones clinical guidelines panel summary report on the management of ureteral calculi. Retrograde ureteropyeloscopic treatment of wtudy cm or greater upper urinary tract and minor staghorn calculi.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Bilateral ureteritis cystica with unilateral ureteropelvic junction obstruction. A shock wave is generated by a source external to the patient that propagates through the body before being focused on a kidney stone.

Concurrent medical conditions associated with urolithiasis primary hyperparathyroidism, gout, renal tubular acidosis. Fig 1 Simple right renal calculus urolitihasis mm. Other treatment modalities include ureteral dilation or mechanical disruption of cysts and ureteral catheterization. J E Lingeman gro.

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Distal ureteral calculi Although the likelihood of spontaneous passage of stones is highest in the distal ureter, intervention with ureteroscopy or shock wave lithotripsy is often necessary. Articles from Cureus are provided here courtesy of Cureus Inc.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Ureteral calculi Ureteral calculi most commonly present with symptoms of acute renal colic. Assessment should include urolithiaiss of vital signs because fever may be an indication for acute intervention box 2. Box 2 Indications for urgent intervention Presence of infection with urinary tract obstruction Urosepsis Intractable pain or vomiting, or both Impending acute renal failure Obstruction in a solitary or transplanted kidney Bilateral obstructing stones.

urolithiasis case study scribd

Once a stone passes into the ureter, obstruction may cause reduced glomerular filtration rate and renal blood flow. Sources and selection criteria We performed a literature search to identify information on the management of urolithiasis We searched databases including Medline and the Cochrane Library to assemble appropriate evidence based reference material.

Shock wave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy have replaced open surgery for treating urolithiasis. Stuxy success rate of repeat shock wave lithotripsy for ureteral stones after failed initial treatment. Pyelitis, ureteritis and cystitis cystica; pp. The diagnosis is usually made during ureteroscopy or during radiography.