nephroliathiasis n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Nephroliathiasis PowerPoint Presentation
Download Presentation
Nephroliathiasis

Loading in 2 Seconds...

play fullscreen
1 / 11

Nephroliathiasis - PowerPoint PPT Presentation


  • 177 Views
  • Uploaded on

Nephroliathiasis. Ludwig Francillon 2/24/2014. Goals and Objectives. Define Nephrolithiasis Review the risk factors and etiology of renal stones Review the signs and symptoms and the evaluation of Renal Stones. Discuss the management renal stones.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Nephroliathiasis' - ginny


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
nephroliathiasis

Nephroliathiasis

Ludwig Francillon

2/24/2014

goals and objectives
Goals and Objectives
  • Define Nephrolithiasis
  • Review the risk factors and etiology of renal stones
  • Review the signs and symptoms and the evaluation of Renal Stones.
  • Discuss the management renal stones
slide3

31 y/o African American male presents with 3 day history of “back pain” that radiates to his groin. Patient denies any hematuria. Physical exam is positive for CVA tenderness. Patient is rolling around bed in obvious pain.  Patient was last seen 9 months ago with similar complaints and gross hematuria.What is next best step in management of this patient?

  • CT Scan
  • IV Morphine
  • IV Fluids
  • Renal Ultrasound
  • Xray (KUB)
  • Urinalysis

Answer Now

:22

risk factors
Risk Factors
  • Low fluid intake
  • History of prior stones or Family history
  • Conditions known to precipitate stone formation
  • Medications
    • Loop diuretics, acetazolamide, antacids, etc.
  • Male gender (3x more likely to have stones)
  • UTIs
types of stones
Types of stones
  • Calcium stones (Most Common)
    • Calcium oxylate or calcium phosphate
  • Uric Acid Stones
  • Struvite Stones (Staghorn Stones)
  • Cystine Stones
clinical features
Clinical Features
  • Renal Colic
  • Nausea and Vomiting
  • Hematuria
  • Dysuria and urgency
  • UTI
evaluation
Evaluation
  • Labs
    • UA, Urine Culture, BMP
  • Imaging
    • Xray KUB (Initial imaging test)
    • Helical CT without contrast (Most sensitive test)
    • IVP
    • Renal Ultrasound (Pts who should avoid radiation)
management
Management
  • Analgesia
    • IV Morphine or ParenteralNSAIDs (Ketorolac)
  • Fluid Hydration
  • Imaging
  • Antibiotics (if UTI is present)
  • Outpatient vs Inpatient
  • Surgery
    • Extracoporeal shock wave lithotripsy (>5mm – 2cm)
    • PercutaneousNephrolithotomy (>2cm)
prevention
Prevention
  • Dietary changes
  • Medication
    • Thiazide diuretics (Calcium stones)
    • Allopurinol (Uric acid stones)