Page 290 - 2021 IDMT Digital
P. 290
NEPHROLITHIASIS
Introduction:
• .LGQH\ VWRQH SDLQ LV JHQHUDOO\ DFNQRZOHGJHG DV RQH RI WKH ZRUVW W\SHs RI SDLQ D
person FDQ VXIIHU
• 6WRQHV LQ WKH NLGQH\ JHQHUDOO\ GR QRW FDXVH SDLQ XQWLO WKH\ PRYH LQWR D SRVLWLRQ WKDW
REVWUXFWV WKH QRUPDO IORZ RI XULQH ± XVXDOO\ DV LW SDVVHV LQWR WKH XUHWHU
• 0HQ DUH DIIHFWHG WLPHV PRUH WKDQ ZRPHQ
• 8ULQDU\ FDOFXOL DUH FRPPRQO\ FRPSRVHG RI FDOFLXP DQG DUH UDGLRSDTXH RQ SODLQ
DEGRPLQDO ILOPV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 6XGGHQ VHYHUH SDLQ
/RFDOL]HG LQ WKH IODQN DQG LV XVXDOO\ VHYHUH XQUHOHQWLQJ
0D\ EH DVVRFLDWHG ZLWK QDXVHD DQG YRPLWLQJ
o 3DWLHQWV DUH FRQVWDQWO\ PRYLQJ WU\LQJ WR ILQG D FRPIRUWDEOH SRVLWLRQ
o $V WKH VWRQH SURJUHVVHV GRZQ WKH XUHWHU WKH SDLQ PD\ EH UHIHUUHG GRZQ WKH
LSVLODWHUDO JURLQ
o 6WRQH VL]H GRHV QRW FRUUHODWH ZLWK WKH VHYHULW\ RI WKH V\PSWRPV
Objective:
• 3K\VLFDO ([DP
o ([DPLQH WKH SDWLHQW EHWZHHQ WKH ORZHU FKHVW DQG JURLQ
o ([DPLQH WKH VFURWXP IRU HSLGLG\PLWLV RU WRUVLRQ
o ,Q IHPDOHV FKHFN IRU DGQH[DO WHQGHUQHVV
o &KHFN IRU &9$ WHQGHUQHVV
• 7RROV
o 8$ ZLOO RIWHQ VKRZ EORRG DQG PD\ VKRZ LQIHFWLRQ
Assessment:
• 'LIIHUHQWLDO
o /RZHU OREH SQHXPRQLD DEQRUPDO EUHDWK VRXQGV
o ,QJXLQDO KHUQLD SDOSDEOH GHIHFW
o (SLGLG\PLWLV WHQGHU WHVWLV DQG HSLGLG\PLV
o *\QHFRORJLF LQIHFWLRQ DEQRUPDO SHOYLF H[DP
Plan:
• 0HGLFDWLRQV
o 3DLQ FRQWURO NHWRURODF RU D QDUFRWLF VXFK DV PRUSKLQH
o $QWL HPHWLFV DV QHHGHG RQGDQVHWURQ RU SURPHWKD]LQH
• 2UDO K\GUDWLRQ LI WROHUDWHG DQG ,9 DV UHTXLUHG
• (YDFXDWH RU DGPLW LI LQWUDFWDEOH QDXVHD YRPLWLQJ RU SDLQ XULQDU\ REVWUXFWLRQ RU VLJQV RI
LQIHFWLRQ
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