247 results
Nephrolithiasis and Hydronephrosis on POCUS

40 yo F presents with unilateral abdominal pain and n/v.
The transducer is
Nephrolithiasis ... non-obstructing renal stone ... & renal stone, ... obstructing UVJ stone ... Herbst @EUSmkh #Nephrolithiasis
Nephrolithiasis with Hydronephrosis on POCUS

This patient had a fever to 102F.  There’s a proximal ureteral
Nephrolithiasis ... with Hydronephrosis ... proximal ureteral stone ... infected ureteral stone ... #Hydronephrosis
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
Renal Pelvis Stone ... A large renal stone ... with associated hydronephrosis ... #POCUS #nephrolithiasis ... anatomy #labeled #hydronephrosis
Ultrasound

Preferred procedure in pregnant women and in patients allergic to IV contrast.
Not dependent on the composition
composition of stones ... Stones are seen ... Detects hydronephrosis ... Ureteral stones ... Clinical #POCUS #Nephrolithiasis
UROLITHIASIS 

80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),
UROLITHIASIS 80% of stones ... & cystine (1%) stones ... Struvite stones, ... Uric acid stone ... #kidneystones #hydronephrosis
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Causes of Nephrolithiasis ... Uric Acid Stones ... - Struvite Stones ... - 10% of stones ... #RenalStones #Nephrolithiasis
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Pediatric Kidney Stones ... • Try retrieve stone ... Stent: < 2 cm stone ... URS: Ureteric stone ... Pediatrics #nephrology #nephrolithiasis
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Complex Hydronephrosis ... Infected stone. ... eabramsMD #Complex #Hydronephrosis
Common Radiation Patterns of Abdominal Pain
 • Hepatic and biliary pathology - R shoulder
 • Pancreatitis,
Pyelonephritis - Flanks • Nephrolithiasis ... (kidney stones)
Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
Kidney stone type ... Urinary #Kidney #Stones