Loin pain Flashcards
stones are more common in which gender?
males
urinary infection is more common in which gender?
females
what are the 7 renal causes of loin pain?
renal stone
ureteric stone
pyelonephritis
renal papillary necrosis
renal abscess
renal tumor
hydronephrosis
what are the symptoms of upper urinary system disease?
loin pain
fever
hematuria
abdominal mass
back pain
what are the symptoms of lower urinary system disease?
irritative symptoms and obstructive symptoms
what are the irritative symptoms?
increased frequency with small volumes
urgency
incontenence
dysuria
what are the obstructive symptoms?
failure to initiate micturition
hesitancy
straining
weak and interrupted stream
terminal drippling
what are the types of anuria?
prerenal: no blood to the kidney (shock)
renal: damaged kidney by NSAID or hyperurecemia uric acid
post renal:both ureters are obstructed
what is the most common cause of loin pain?
renal colic
what is the type of pain caused by renal abscess?
throbbing pain
what are the expected lab results for renal abscess?
elevated ESR CRP
pyuria
culture
how is renal abscess diagnosed?
ultrasound
cavity with turbid fluid/air fluid level
what are the manifestations of pyelonephritis?
same as renal abscess
elevated ESR CRP
pyuria
culture
no radiological evidence
describe renal papillary necrosis?
necrosis of the papilla causes it to prolapse down in the ureter. ureter will start hyperperistalsis to propagate the papilla downwards causing colicky pain
which patients are prone to renal papillary necrosis?
Diabetic
analgesia abuse
