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Uti/renal Calculi > Urolithiasis Renal Calculi > Flashcards

Urolithiasis Renal Calculi Flashcards

0
Q

What are nephrolithiasis?

A

Stones formed in renal parenchyma

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1
Q

What is urolithiasis?

A

Presence of stones in urinary tract

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2
Q

What is ureterolithiasis?

A

Formation of stones in ureter

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3
Q

Primary factor of urolithiasis

A

Super saturation of filtrate with particular element

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4
Q

Predisposing factors of stones

A

Hereditary,UTI,foley Cath, immobility, dehydration, ph of urine, hyperparathyroidism, gout, excessive Vit D

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5
Q

Incidence is most often in

A

Young males

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6
Q

2/3 super concentration of calcium and oxlate

A

Calcium oxlate

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7
Q

Super concentration of calcium or phosphate

A

Calcium phosphate

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8
Q

Struvite

A

In renal pelvis can become huge

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9
Q

Stag horn

A

Takes up whole pelvis

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10
Q

Cystine

A

Heredity

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11
Q

Emergency treatment of urolithiasis

A

Iv dilaudid or morphine
Iv fluids
Ditropan/probanthine

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12
Q

What does ditropan/probanthine do?

A

Depresses smooth muscle of ureter

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13
Q

Primary prevention of urolithiasis

A

Avoid immobility

Avoid fluid depleted states

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14
Q

Secondary prevention of urolithiasis

A

Fluid intake of approx 3000-4000 cc day

Dietary modifications

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15
Q

Pain for renal calculi appears

A

Renal colic flank pain radiating to abdomen scrotum and perineum

16
Q

Manifestations of renal calculi

A 
Pain
Hematuria
Urine output
Urgency / frequency
Pyuria
17
Q

Diagnosis of renal calculi

A 
Lab findings
X ray
Kub
Ivp
Renal ultrasound
Spiral ct scan
18
Q

Non surgical interventions

A 
Strain all urine
Force fluids/Iv
Walk
Narcotics
Spasmolytic agents
Vitals
Back rub
19
Q

90% stones passed

A

Spontaneously

20
Q

What medication is an antispasmodic

A

Ditropan

21
Q

Surgical management of stones

A

Cystoscopy
Percutsneous nephronscopy
Percutsneous ultrasonic lithotripsy

22
Q

Acid ash diet is for?

A

CA phosphate and sturvite stones

23
Q

Acid ash diet increases

A

Acidity of urine

24
Q

Increase intake of _________________ in acid ash diet

A 
Eggs
Meat
Poultry
Cereals
Cranberries/juice 
Prunes
Grapes
Asparagus
Tomatoes 
Corn
25
Q

What diet is for Uric acid and cystine stone?

A

Alkaline ash diet

26
Q

In alkaline diet increase intake of?

A

Milk
Rhubarbs
Veggies
Tomatoes and fruit

27
Q

What diet is for ca oxlate and ca phosphate stones?

A

Low calcium diet and phosphate

28
Q

A low calcium diet is dangerous in?

A

Females

Uti/renal Calculi (4 decks)

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