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Flashcards in 4. UROLITH Deck (29):
1

stone formation requires?

supersaturated urine

2

3 most common incidence to formation of stones

U-P-C
uti - prostate - calculi

3

4 factors for saturation of urine

- acidic ph
- increased ionic strength
-solute concenration (citrate decreases)
-complexation

4

theory based on calculi formation due to absence of natural stone inhibitors (citrate)

crystall inhibitor theory

5

theory due to diet

nucleation theory

6

risk factors for RECURRENT stone formation

fam hx
brushite stones
1 kidney functioning
early onset (

7

rx associatied with stone formation

indinavir
triamterene
sulphonamides
acetazolamide

8

primary abnormality/result that lead to urolith

urine stasis

9

starts with staghorncalculi

struvite

10

common organism for struvite

proteus, providencia, staph, keleb, mycoplasma, pseudodododododmonas

11

Long term use of antihpn

Triamterene

12

Dull ache due to

Large stones

13

2nd variety of stones assoc w infection

CapO4

14

If fever w UT obstruction

Decompress with catheter

15

Unsuccesful retrograde catheter in septic UT obs

Percutaneous nephrostomy

16

Effect of renointestinal reflex

N/v

17

Period of observation (since most will pass out)

4-6weeks

18

Size of stone pass out

4-5mm (50%)

19

Oral alkalanizing agents

Bicarbonates
Citrates

20

Dissolution agents cannot be used in ca stones. T/F

T. Di sya nadidissolve

21

Indication for emergent drainage

Calculi with urosepsis

22

Dietary dependent and is a common cause of urinary stone dse

Type2

23

Treatment of type 2

Limit intake lang

24

Absorptive hypercalciuria dependent on phosphate

Type 3

25

Uric acid lithiasis occur in px w

Gout
Myeloprolif
Rapid weight loss
Chemodrugs

26

Ph for tx of uric acid stones

>6

27

Medication for cystine stone

Pencillamine

28

Firdt drug of choice for cystine stone

Mcpg

29

Noncolicky renal pain caused by

Renal capsule distention