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RENAL CALCULI
- Refers to stones in the urinary tract due to
increase urinary concentration of substances
such as Ca oxalate, Ca phosphate and uric acid.
Assessment
A.
History:
1.
2.
3.
4.
Dysuria
6.
7.
Hematuria/pyuris pus
8.
Renal colic
9.
C. Diagnostic test:
10. Xray of KUB/ultrasonography
11. Retrograde pyelography
12. Blood chem/ 24hours urine test to measure calcium, uric acid,
sodium, creatinine, and pH
*beans, asparagus, liver, red meat, dinuguan food rich in purine
Predisposing factors:
Non modifiable
age
sex
Modifiable factors:
Super saturation of
urine by stone forming
constituents
nephrocalcinosis on proximal
tubule
Hyperkalemia
Randalls plaque
Nidation of crystals or
foreign bodies from the
supersaturated urine.
Pyuria
Progression of stone to
Loop of Henle
Accumulation of
stones and
increasing in size
Dysuria
Hematuria
Stone formation in
kidney
Proteinuria
If treated
If not treated
Lithotripsy
percutaneous
nephrolithotomy
surgery
Ureteroscopy
Kidney failure
Wellness
Death
2.
3.
4.
5.