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Chapter 21, urolithiasis
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What is the hallmark symptom for this disorder
pain
When would stones cause clinical manifestation
urine flow is blocked
What causes flank pain in urolithiasis
streching of renal capsule
What causes a rhythmic contractions of the ureter
a stone getting stuck in the lumen of the ureter, pain occurs as stone is moving through ureter
what causes urolithiasis
idiopathic
heredity
males more often than females
what is the patho of urolithiasis
usually start in tubule or papillae
nidus forms
nidus gets trapped in calyx
nidus attracts other crystals
grows into a stone
what are some predispoding factors of urolithiasis
high urinary concentration of stone-forming substances
urinary tract infection
metabolic factors-gout, hyoercalcemia
immobility
why would kidney stones cause a UTI
urine stasis
how would a UTI cause kidney stones
cellular debris from an infection may form a nidus
what are most kidney stones made of
calcium
what causes hypercalcemia
a hyperactive parathyroid gland
what are the signs and symptoms of urolithiasis
flank pain
nausea, vomiting
cool moist skin
rapid pulse
pain spasm
what type of diagnostic test would be used for renal calculi
KUB
IVP
CT scan
why would a patient with renal calculi be asked to strain their urine
to analyze the stone and find the content and predisposing factors
what type of treatment is used for renal calculi
small stones pass
extracorporeal shock wave lithotripsy-break up large stones
laser lithotripsy
drugs to dissolve
treat underlying cause
adjust pH by fluid intake
increase fluid intake
pain killers/morphine/narcotic analgesics
what is staghorm calculus
large stone that forms in the renal calyces and pelvis that resembles deer antlers
What is the complication of staghorn calculus
renal failure
what is the prognosis for renal calculi
good
Author
tville01
ID
155805
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Chapter 21, urolithiasis
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Chapter 21, urolithiasis
Updated
2012-05-25T17:48:00Z
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