Renal Stones Flashcards

1
Q

Etiogies for renal stones

A

idiopathic calcium urolithiasis;

! hypercalcaemic disorders;

! renal tubular syndromes;

! uric acid lithiasis;

! enzyme disorders;

! secondary urolithiasis;

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2
Q

What happen in idiopathic calcium urolithiasis

A

Normal serum ca level and unexplained hypercalceuria

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3
Q

What are 2 types of idiopathic calcium urolithiasis

A

Renal idiopathic calcium urolithiases

Absorptive idiopathic calicium urolithrasis

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4
Q

What’s most common reason for urinary stones E

A

Idiopathic calcium arolithiasis urolithiasis

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5
Q

What can be coexist with icu

A

Hydroxaluria and hyperaricosuria u renal tabular acidosis

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6
Q

What ane hyper calciemic disoders which cause renal stones.

A

‘1 primary hyperparatheroidisms 2 prolong immobilizations 3 milla alkali syndromes 4 other causes

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7
Q

Flow primary hyperpmathyroidism cause renal stones.

A

Parathyroid adenama secreate parathomes cause increase calcium levels

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8
Q

How prolong immobilization cause renal stones.

A

Hypercalciaria and hyper calcemia due to bone resorption

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9
Q

What one other causes for hypercalcemic disoders:

A

Neoplastic disease, cushing disease, hyperthyroidism

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10
Q

What are renal tubular syndromes cause for renal? Stones i

A

Renal tubular acidosis and cystinuria

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11
Q

How cause renal tubular acidosis to renal stones

A

Rta type i due hypercalciuria and cour urinary citrate excreation

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12
Q

Composition of renal stones in rta.

A

Pure calcium phosphate

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13
Q

What’s % of renal stones caused by uric acid lithiasis

A

5-10% of urinary stones

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14
Q

2 main reasons for uric acid lithiasis

A

Excessive excreation uric acid
Excessive acidic urine
Undissociated uric acid at ph less than 5.5

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15
Q

How dietary purine cause uric acid stones

A

Uric acid end product of purine metabolism

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16
Q

Two causes for uric acid stones

A

Myeloproliferative disease
Chemotheraphy,
Low urine volume= IBD pts,ileostomy pts

17
Q

How uric acid stones appear

A

Hard and smooth multiple and multifaceted

18
Q

What are enzyme disoders for renal stone occurance.

A

Primary hydroxaluria , xanthiuria, 2-8 dihydroadenineuria

19
Q

What are causes for secondary urolithiasis

A
Secondary hydroxalaria, 
dietary excess
, infections 
obstruction and stasis
 medullary sponge kidneys
 urinary diversion
Drugs