62 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 ... #Stones #Management
Medications for Recurrent Calcium Oxalate (CaOx) Stones
HYPERCALCIURIA
 • Thiazides: HCT, Indapamide, Chlorthalidone
 • Consider after first
Oxalate (CaOx) Stones ... Consider after first stone ... - Single kidney ... - Large stone ... Medications #Recurrent #Management
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
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
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
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
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... urinalysis, labs - Management ... treating underlying cause ... - Intrarenal: stones ... appropriate) #Acute #Kidney
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Artifact of CBD stone ... this dancing CBD stone ... #POCUS Can also ... be caused by adenomyomatosis ... Artifact #CBD #stone
Gallbladder Stone Mimic on POCUS

Adjacent bowel can mimic GB stone .The shadow it casts is a
Gallbladder Stone ... Mimic on POCUS ... bowel can mimic GB stone ... .The shadow it casts ... #Gallbladder #Stone