Renal Calculi Flashcards
1
Q
what are renal calculi
A
kidney stones
2
Q
what is another word to call kidney stones
A
nephrolithiasis
3
Q
higher incidence in men or women?
A
men dt BPH ?
4
Q
Etiology
A
complex interaction
5
Q
3 factors in the complex interactions
A
structural changes
increase solutes in the blood/urine
dietary and metabolic factors
6
Q
Patho
A
increase in solutes/urine status - precipitators in the urine - nucleus = crystalization
7
Q
what inhibits crystallization
A
kidney proteins
8
Q
4 types of stones
A
calcium
cystine
uric acid
magnesium ammonium phosphate
9
Q
what does the stag horn calculi cause
A
non colicky pain
distention of renal pelvis and calyces
10
Q
Manifestations
A
severe renal colic
ureter spasms = pain
non colicky pain
nausea, vomiting, diaphoresis
11
Q
Diagnosis
A
Pain US CT IVP (intravenous pyelogram) contrast med in vein until reaches obstruction urinalysis
12
Q
Treatment
A
90% passed in less than 5mm
morphine for pain gravol for nausea antispasmodic: buscopan treat cause (dietary) increase fluid uptake surgery - lithotripsy (high frequency sound waves)
