Urolithiasis Flashcards
stone types? (4)
calcium oxalate
+/- phosphate
triple phosphate (infective)
uric acid (spike)
signs and symptoms of kidney stones? (6)
renal pain that is fixed in loin loin tenderness ureteric colic dysuria/haematuria urinary infection pyrexia
Investigates? (5)
bloods - FBC, U&Es, Creatinine, Ca, Albumin Parathormone Urine analysis and culture 24hr urine collection Radiology - KUB U/S
surgical technique for kidney stones?
percutaneous nephrolithotomy
other techniques?
extracorpeal shock wave lithotripsy (ESWL)
indications for PCNL? (4)
large stone burdens
associated PUJ stenosis
calyces diverticulum
ESWL resistant stones - cystine
what stones is extracorpeal shock wave lithotripsy ineffective at treating?
cystine stones
ureteric stone symptoms? (2)
uncontrollable pain
persisten haematuria
standard treatment for ureteric stoned?
rigid ureteroscope
bladder stones symptoms? (4)
suprapubic/groin pain
sudden interruption in flow
UTI that persists
dysuria/frequency/haematuria