UROLITHIASIS CASE STUDY SCRIBD

UROLITHIASIS CASE STUDY SCRIBD

Bilateral ureteritis cystica with unilateral ureteropelvic junction obstruction. Although shock wave lithotripsy is the most common treatment for urolithiasis, it can have side effects. Randomised controlled trials comparing the two techniques have reached conflicting conclusions. N Engl J Med ; Other treatment modalities include ureteral dilation or mechanical disruption of cysts and ureteral catheterization. The fundamental principle guiding treatment selection is to maximise stone clearance while minimising patient morbidity.

A complete history of drugs use can help identify those that are known to increase the risk of kidney stones box 1. Anatomical features Presence of horseshoe kidney Previous urinary diversion Obstruction of the ureteropelvic junction Solitary kidney Previous renal or ureteral surgery. It is a proliferative condition characterized by multiple cysts and filling defects in the urothelium. Coronal CT image showing thickened left ureter white arrow and moderate hydronephrosis of the left kidney red arrow CT: 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. Author information Article notes Copyright and License information Disclaimer.

Do not disregard or avoid professional medical advice due to content published within Cureus. Box 5 outlines the components of a standard metabolic evaluation. How is the diagnosis made? Journal List Cureus v.

urolithiasis case study scribd

The management of lower pole calyceal calculi remains controversial. Journal List BMJ v. AUA guideline on management of staghorn calculi: A recent prospective randomised study compared three drugs as medical expulsive therapy for distal ureteral calculi.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Comorbid diseases should be identified, particularly any systemic illnesses that might increase the risk of kidney stone formation or that might influence the clinical course of the disease box urolithiais. Tamsulosin and corticosteroid was the most efficacious combination—stones were passed more quickly and the need for analgesics was reduced.

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Interestingly, this studyy had no obvious medical history suggesting a cause for this process. International Kidney Stone Institute www. Support Center Support Center. Randomised controlled trials comparing the two techniques have reached conflicting conclusions.

Management of kidney stones

We searched databases including Medline and the Cochrane Library to assemble appropriate evidence based reference material. Various therapies can be applied scrribd the treatment of UC. Extracorporeal shock wave lithotripsy versus ureteroscopy for distal ureteral calculi: Typical symptoms of acute renal colic are intermittent colicky flank pain that may radiate to acribd lower abdomen or groin, often associated with nausea and vomiting.

Tamsulosin treatment increases clinical success rate of single extracorporeal shock wave lithotripsy of renal stones.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Received Mar 12; Accepted Apr Percutaneous nephrolithotomy Percutaneous nephrolithotomy involves creating an access tract into the renal collecting system through which nephroscopy can be performed. Fig 2 Complex left renal calculus. Other etiological factors that have been postulated include schistosomiasis, vitamin A excess, and increased immunoglobulin A [ urolithiazis ].

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urolithiasis case study scribd

J E Lingeman gro. Although the likelihood of spontaneous passage of stones is highest in the distal ureter, intervention with ureteroscopy or shock wave lithotripsy is often necessary.

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urolithiasis case study scribd

We performed a literature search to identify information on the management of urolithiasis. Percutaneous nephrolithotomy involves creating an access tract into the renal collecting system through which nephroscopy can be performed. However, our patient developed bilateral ureter obstruction associated with an acute kidney injury, which has not been previously reported.

Alexander Muacevic and John R Adler. It contains educational material for patients as well as krolithiasis description of the ongoing research projects in the area of kidney stone disease.

Broad spectrum antibiotics are best prescribed initially, and further antimicrobial treatment should be tailored to the results of urine culture. Once a stone passes into the ureter, obstruction may cause reduced glomerular filtration rate and renal blood flow. 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.

Axial CT image showing thickened left ureter white arrow and moderate hydronephrosis of the left kidney red arrow CT: Medical expulsive therapy This treatment comprises the use of urolithiasid to help the spontaneous passage of ureteral calculi.