Renal Calculi Flashcards Preview

Jason's MD2 ED/Amb Rotation > Renal Calculi > Flashcards

Flashcards in Renal Calculi Deck (34):
1

which stones can be dissolved?

uric acid
cysteine

2

can you dissolve calcium stones?

Nope

3

renal colic where?

anywhere along loin to groin

4

right sided flank pain ddx?

ovarian cyst
renal colic
testicular torsion
renal stone
appendicitis

5

physical signs its renal colic?

not tender on palpation
pain from loin/groin

6

location of pain for renal colic?

location of pain doesn't tell you where stone is

7

CT KUB is?

Kidneys
ureters
bladder

8

CT for renal colic use contrast?

Non contrast because contrast and stones are both bright

9

difference between KUB abdo and abdo x-ray?

KUB gets the ureteric entrance to the bladder

10

why do plain abdo film in renal coli?

see if it's radio-opaque (90%)

11

what is a phlebolith?

calcification in vein valve in pelvis

12

Initial management of renal colic?

morphine 10mg
metaclopramide 10mg

13

morphine alternative if allergy?

100mg pethidine

14

anti- emetics

chloproperazine
metaclopramide
ondansetron

15

alpha-blocker for renal coli

tamsulosin

16

extra pain relief for renal colic?

endocet suppositories

17

who needs treatment immediately for renal calculi?

1. ppl who have single kidney only (calculus anuria)

2. febrile: urosepsis

3. someone who's not responding to pain relief

18

where are the 3 thirds of ureter called?

upper third: lumbar
mid: SI joint
lower: pelvic ureter

19

what to do on follow up?

How is pain?
take KUB x-ray or
CT KUB

20

how long to give to pass their stone?

2-3 weeks

21

lithotripsy used where?

bigger stone in kidney

22

what to do for a very large stone in kidney?

percutaneous nephro PCNL

23

what size of stones will pass?

24

JJ stent for?

keep the ureter open to let it heal

25

pH of someone's urine with uric acid stones?

5

26

someone with struvite, calcium stones urine pH??

7.5-8

27

calcium oxalate stones like to form in what kind of pH?

pH independent

28

how to dissolve uric acid stones?

increase the urine pH via:
-bicarb
-water to flush
-allopurinol

29

how to dissolve cystine stones

fluids
alkanizers
-D-peniccilamine

30

how much water to drink is kidney stones?

look at the colour in the urine until it;s clar

31

what's the most useful biochem invesitagition fro calculi

stone analysis.

32

dietary calcium vs. stones in Men?

more calcium actually less stones

33

isolated calciuria matter?

nope

34

Types of stones

Cysteine: Kids
Uric Acid
Calcium