UROLITHIASIS CASE STUDY SCRIBD

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. Low success rate of repeat shock wave lithotripsy for ureteral stones after failed initial treatment. Randomised controlled trials comparing the two techniques have reached conflicting conclusions. Prospective comparison of unenhanced spiral computed tomography and intravenous urogram in the evaluation of acute flank pain. The patient was successfully treated with shock wave lithotripsy.

For the purposes of selecting treatment, ureteral calculi can be divided into categories on the basis of location—proximal or distal—with the point of division being the narrow part of the ureter over the iliac vessels. Assessment should include measurement of vital signs because fever may be an indication for acute intervention box 2. Information resources for patients International Kidney Stone Institute www. Acute renal colic from ureteral calculus. How is the diagnosis made? Most of the literature is retrospective, but we will try to provide an evidence based review of the management of urolithiasis and will cite prospective randomised controlled trials when available.

BJU Int ; Yrolithiasis the purposes of selecting treatment, ureteral calculi can be divided into categories on the basis of location—proximal or distal—with the point of division being the narrow part of the ureter over the iliac vessels. 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.

urolithiasis case study scribd

It has classically been documented in older female patients with a history of recurrent urinary tract infections or kidney stones and can be challenging to diagnose [ 2 ]. Ultrasound is rarely used because of its relatively low sensitivity, although it urolityiasis often used as the initial imaging test in pregnant patients with flank pain.

  HOE LYK N CURRICULUM VITAE

Management of kidney stones

Open in a separate window. Microscopic haematuria combined with the typical symptoms of renal colic is highly predictive of urolithiasis, but stones may occur in the absence of haematuria. Tamsulosin treatment increases clinical success rate of single extracorporeal shock wave lithotripsy of renal stones. Interestingly, this patient had no obvious medical history suggesting a cause for this process. Comorbid diseases should be identified, particularly any systemic illnesses that might increase the risk of kidney stone formation or that might stusy the clinical course of the disease box 1.

Other etiological factors that have been postulated include schistosomiasis, vitamin A excess, and increased immunoglobulin A [ 2 ]. Unenhanced uurolithiasis computerized tomography for the evaluation of patients with acute flank pain.

Royal Infirmary of Edinburgh Renal Unit http: The American Urological Association. Alexander Muacevic and John R Adler.

Management of kidney stones

Ureteral calculi Ureteral calculi most commonly present with symptoms of acute renal colic. The most common radiological appearance of UC is numerous, small, relatively uniform filling defects involving the ureters and, less commonly, the renal pelvis.

References] Click here to view. We present an unusual bilateral case of UC in a year-old healthy woman with no history of the predisposing risk factors mentioned above. Journal List Cureus v.

A single hour urine collection is inadequate for the medical evaluation of nephrolithiasis. Support Center Support Center. Kidney changes after extracorporeal shock wave lithotripsy: A randomised controlled prospective study has also shown tamsulosin to be a useful addition to shock wave lithotripsy.

  DISSERTATION PETITE POUCETTE

Various therapies can be applied in the treatment of UC.

urolithiasis case study scribd

Please review our privacy policy. Shock wave sstudy The introduction of shock wave lithotripsy in the early s revolutionised the treatment of nephrolithiasis. 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.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Author information Copyright and License information Disclaimer. Low success rate of repeat shock wave lithotripsy for ureteral stones after failed initial treatment. Per the operative report, the region of the ureter thickening had the gross appearance of ureteritis cystica. Measurement of serum calcium, bicarbonate, creatinine, chloride, potassium, magnesium, phosphate, and uric acid. Ureteroscopy involves retrograde visualisation of urolithiazis collecting system using a rigid, semi-rigid, or flexible endoscope.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Once a stone passes into the ureter, obstruction may cause reduced glomerular filtration rate and renal blood flow. Our patient presented with hydronephrosis during both instances and subsequently required stent placement.

Discussion Morgagni first reported UC in [ 1 ].