Nephrolitiazis And Obstructions Flashcards
What is nephrolithiasis and urolithiasis
Stones in kidney and urine tract
What is the types of kidney stones stones and the most common type
Calcium oxalate
Calcium phosphate
Uric aside
Sytruvite
These molecules binds with lipids and form crystal nucleus
Most common form is calcium stones
What is the difference of acute and chronic nephrolithiasis?
Pain
Dilation
Perfusion
What is the obstruction reasons?
Stones
Prostate hypertrophy
Bladder CA
What is the main symptoms?
Pain
Renal colic
Hematuria
What is the risk factors of stones?
High salt diet
Hyper oxalate
Hyperparathyroid
Hypercalcemia
High D-Vit
High C-Vit
DM
GUT
Coffee
Tea
Dehydration
Low volume
Low urine
Which pathologist must be differentiated
Uterine CA
Malignancies
Ectopic Pregnancy
Renal Cell CA
Pyelonephfiritis
Ovarian cyst
Dysmenore
Acute abdominal pain
How can we do differential diagnosis?
Non contrast helical BT
Ask for pregnancy
What is the treatment of obstructions?
High hydration
Low salt diet
No coffee and tea
Treatment of underlying pathology
NSAIDS abd Ophoids
Which disorders causes stones?
DM
GUT
SHORT INTESTINE
INFLAMMATORY INTESTINE
PRIMARY HYPERPARATHYROID
DISTAL RTA
INTESTINAL BYPASS
MEDULLARY SPONGE KIDNEY
