51 results
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... • Try retrieve stone ... Stent: < 2 cm stone ... #nephrolithiasis
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Causes of Nephrolithiasis ... Uric Acid Stones ... Medullary sponge kidney ... #RenalStones #Nephrolithiasis ... Diagnosis #Algorithm #Causes
Nephrolithiasis with Hydronephrosis on POCUS

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

A patient presents with fever and RLQ pain.  Coronal plane showing
Renal Pelvis Stone ... A large renal stone ... concerning for septic stone ... Renal #Pelvis #Stone ... #POCUS #nephrolithiasis
Proximal Ureteral Stone on POCUS
Acute flank pain.
2 cm obstructing stone in proximal ureter. Can't just managed
Proximal Ureteral Stone ... on POCUS Acute ... cm obstructing stone ... EmergOmBur #Ureteral #Stone ... kidney #clinical
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
X-rays useful tor stone ... identify non-calculus causes ... Combines calcific stone ... for non-calculus causes ... Calculi #Renal #Kidney
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
age and muscle tone ... infant with normal tone ... clinical #video #hypotonia ... hypotonic #peds #pediatrics ... #tone #normal
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... s a similar case ... but there is a stone ... BileDuct #CBD #Stone
Ultrasound

Preferred procedure in pregnant women and in patients allergic to IV contrast.
Not dependent on the composition
composition of stones ... Stones are seen ... Kidney Stone ... #Clinical #POCUS ... #Nephrolithiasis
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... AAA.... but left kidney ... Infected stone. ... Hydronephrosis #POCUS