Urolithiasis Flashcards

1
Q

stone types? (4)

A

calcium oxalate
+/- phosphate
triple phosphate (infective)
uric acid (spike)

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2
Q

signs and symptoms of kidney stones? (6)

A
renal pain that is fixed in loin
loin tenderness
ureteric colic
dysuria/haematuria
urinary infection 
pyrexia
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3
Q

Investigates? (5)

A
bloods - FBC, U&Es, Creatinine, Ca, Albumin
Parathormone
Urine analysis and culture
24hr urine collection
Radiology - KUB U/S
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4
Q

surgical technique for kidney stones?

A

percutaneous nephrolithotomy

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5
Q

other techniques?

A

extracorpeal shock wave lithotripsy (ESWL)

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6
Q

indications for PCNL? (4)

A

large stone burdens
associated PUJ stenosis
calyces diverticulum
ESWL resistant stones - cystine

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7
Q

what stones is extracorpeal shock wave lithotripsy ineffective at treating?

A

cystine stones

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8
Q

ureteric stone symptoms? (2)

A

uncontrollable pain

persisten haematuria

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9
Q

standard treatment for ureteric stoned?

A

rigid ureteroscope

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10
Q

bladder stones symptoms? (4)

A

suprapubic/groin pain
sudden interruption in flow
UTI that persists
dysuria/frequency/haematuria

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