Renal - PowerPoint/3 Flashcards
kidney stone formation - growth into a stone via
2
crystallization or aggregation
an interference with the flow of urine at any site along the urinary tract
UTO
kidney stone tx
3
- high fluid intake
- decreasing dietary intake of stone forming substance
- stone removal
UTO severity is based on
5
- location
- completeness
- involvement of ureters/kidneys
- duration
- cause
obstructive uropathy is to
UTO
kidney stones are classified according to
the minerals that make up the stone
UTO is
an interference with the flow of urine at any site along the urinary tract
UTO stands for
urinary tract obstruction
enlargement of the renal pelvic and calyces
hydronephrosis
hydroureter
accumulation of urine in the ureter
UTO compensatory hypertrophy and hyperfunction from
2
- obligatory growth
2. compensatory growth
upper UTO locations
3
- hydroureter
- hydronephrosis
- ureterohydronephrosis
kidney stone formation - presence of a salt in a higher concentration than the volume able to dissolve the salt
supersaturation of one or more salts
kidney stone risk factors
8
- gender
- race
- age
- geographic location
- seasonal
- fluid intake
- diet
- occupation
UTO - the obstruction can be caused by what two defects
- anatomic
2. functional
kidney stone formation - the small seed (randall’s plaque) acts as a binding site onto which more stone crystal structures can begin to develop, in a process called
nucleation
kidney stones aka
2
- calculi
2. urinary stones
kidney stone evaluation
2
- imaging
2. 25 hour urinalysis
kidney stone formation - crystals continue to “aggregate” and the stone grows as dissolved minerals do what
precipitate out of solution, forming a larger and large stone
other factors affecting stone formation
3
- crystal growth-inhibition substances
- particle retention
- matrix
accumulation of urine in the ureter
hydroureter
kidney stone can be made from
4
- calcium oxalate
- calcium phosphate
- struvite stones
- uric acid stones
ureterohydronephrosis
dilation of both the ureter and the pelvicaliceal system
kidney stones manifestation location
renal colic
dilation of both the ureter and the pelvicaliceal system
ureterohydronephrosis
kidney stone - a small area of kidney tissue becomes injured, which leads to the formation of
a calcification called a Randall’s Plaque
kidney stone formation from temp and pH changes
precipitation of a salt from liquid to solid state
hydronephrosis
enlargement of the renal pelvic and calyces
kidney stone formation - precipitation of a salt from liquid to solid state is affected by
2
temp
pH
kidney stones
masses of crystals, protein, and other substances that form within and may obstruct the urinary tract
kidney stone formation - supersaturation of one or more salts
presence of a salt in a higher concentration than the volume able to dissolve the salt
UTO postobstructive diuresis
nephrogenic diabetes insipidus