Nephrolithiasis Flashcards

1
Q

Nephrolithiasis =

A

Kidney stones

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2
Q

Nephro =

A

kidney

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3
Q

renal =

A

of or belonging to the kidneys

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4
Q

nephrology =

A

study of the kidneys

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5
Q

urology =

A

study of the urinary tract

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6
Q

lithos =

A

stone

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7
Q

calculi =

A

something accidental that doesn’t belong in the body (stone)

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8
Q

Where can you have urologic obstruction

A

kidney (renal pelvis)
Bladder
Urethera
Urteter

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9
Q

factors that determine destructive obstruction (4)

A

Degree - partial, complete
location
duration - Longer blockage more damage and inflammation
timing - acute, chronic

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10
Q

Cause of renal pelvis obstuction

A

renal calculi

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11
Q

Cause of ureter obstruction

A

Renal calculi
Pregnancy
Tumors

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12
Q

cause of bladder and urethra obstruction

A
Bladder cancer
Neurogenic bladder
Prostatic hyperplasia
Prostate cancer
Urethral strictures
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13
Q

hydronephrosis =

A

Backup of pressure in the kidneys due to blockage

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14
Q

hydroureter =

A

backup of pressure in the ureters due to blockage

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15
Q

Complications of stasis of urine flow

A

infection

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16
Q

Pharm for Acute nephrolithiasis

A

Morphine
NSAIDs
IV Fluids

17
Q

Preventive meds for nephrolithiasis

A
Calcium = thiazide diuretics
Struvite = antibiotics 
Urate = allopurinol (covered in gout lecture)
18
Q

3 manifestations of acute obstruction

A

Site

Cause (Stone, Prostate)

speed of onset

19
Q

what is nephrolithiasis and what is the definition

A

Renal calculi or Kidney Stones

clumps of crystals in the urinary tract

20
Q

where do kidney stones form

A

renal pelvis

21
Q

where are kidney stones located

A

Anywhere from the renal pelvis to bladder where they get excreted through the urethra

22
Q

7 Risk factors for nephrolithiasis

A

Sex: Men (for now)

Age: 20s – 30s

Race: white

Family history

Congenital defect
Of kidney or urinary system

Weather? Warmer

Obesity

23
Q

Etiology of nephrolithiasis

A

crystallized solutes in the urine depending on individual risk factors such as
Hx,
characteristics of urine,
diet, oxylates, med Characteristics of the urine (diet, medications)

24
Q

3 types of kidney stones

A

Calcium oxalate -75 % - Family history
Idiopathic
↑Calcemia
↑Oxaluria

Struvite “Staghorn” - 7-10% - Urinary tract infection

Uric acid 7-10% - Will cover in arthritis lecture (gout)

25
Q

Patho of Nephrolithiasis

A

Problem: Super-saturation with a solute

Crystals begin forming in the nephron

Crystal formation is enhanced by:

Dehydration
Immobility/sedentary lifestyle

26
Q

Characteristics of renal colic

A

Pain in flank that radiates to the groin in spasms or waves

intermittent, sharp and severe

27
Q

accompanying symptoms of acute renal colic

A

N/V

Diaphoresis

Increase HR
Increase RR

Manifestations of Lower UTI (dysuria, hematuria, etc).