858 results
Leech Extraction from Nasal passages

#Leech #Extraction #clinical #video #infectiousdiseases #procedure #removal
Leech Extraction ... Nasal passages #Leech
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 ... Cystine stones are
Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
Kidney stone type ... Urinary #Kidney #Stones
Medications for Recurrent Calcium Oxalate (CaOx) Stones
HYPERCALCIURIA
 • Thiazides: HCT, Indapamide, Chlorthalidone
 • Consider after first
Oxalate (CaOx) Stones ... Consider after first stone ... kidney - Large stone ... risk in CaPO4 stones ... Oxalate #CaOx #Stones
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
calcium-containing stones ... X-rays useful tor stone ... ureteric and renal stones ... Combines calcific stone ... Renal #Kidney #stones
Causes of Hyperuricemia
Increased production
 • Solid-organ transplant
 • Tumor lysis syndrome
 • Rhabdomyolysis
 • Lesch Nyhan
Rhabdomyolysis • Lesch ... disease (CKD) stages ... Starvation • Ketones
Toxic Alcohol Ingestion
Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol
 • Metabolic Acidosis
 •
Serum / Urine Ketones ... AKI / Ca Oxalate stones
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Pediatric Kidney Stones ... • Try retrieve stone ... ELECTIVE: - Stone ... Stent: < 2 cm stone ... URS: Ureteric stone
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Non-calcium 10% of stones ... Uric Acid Stones ... protein intake Soft Stones ... - Struvite Stones ... - 10% of stones
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
diverticulum, AUPBD • Stones ... : Biliary stone(