Kidney Stones Presentation

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Kidney Stones:

Kidney Stones

Kidney Stones:

Kidney Stones Affect 1 in 10 people in the United States More common in industrialized countries than developing countries 4x more common in males than in females A history of kidney stones increases the likelihood of recurrence Likelihood increases with age

What is a Kidney Stone?:

What is a Kidney Stone? Hard, crystallized mineral material formed within the kidney or urinary tract Nephrolithiasis - condition of having kidney stones ( renal calculi )

Formation of Kidney Stones:

Formation of Kidney Stones High levels of waste products  Low levels of fluids/chemicals that break down waste products  Formation of stone-like masses in the kidneys

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Medical Conditions Gout Hypercalciuria Hyperthyroidism Hypertension Diabetes Dietary Factors Inadequate fluid intake Excessive intake of: Sugar Sodium Vitamin D Animal protein Oxalate containing foods Medications Diuretics Calcium containing antacids

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Signs/Symptoms Severe pain in the lower back, side, abdomen, or groin Nausea/vomiting Hematuria Oliguria Dysuria Pyuria Hydronephrosis

Imaging Techniques:

Imaging Techniques X-Ray Ultrasound Computed Tomography (CT)





Computed Tomography (CT):

Computed Tomography (CT)


Treatment Managing pain and discomfort associated with passing a stone Medical/surgical intervention

Passing a Stone:

Passing a Stone Most stones will pass within 48-72 hours Drink lots of fluids to facilitate passage NSAIDs - aspirin, ibuprofen Opioids - codeine, hydrocodone

Surgical Intervention:

Surgical Intervention Percutaneous Nephrolithotomy Extracorporeal Shock Wave Lithotripsy

Percutaneous Nephrolithotomy :

Percutaneous Nephrolithotomy

Extracorporeal Shock Wave Lithotripsy:

Extracorporeal Shock Wave Lithotripsy

The End:

The End

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