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Management of Pediatric Kidney Stones
Acute Managment:
• Pain relief: NSAIDs, opioids
• Facilitating passage of stone:

Kidney Stones Acute ... • Try retrieve stone ... ELECTIVE: - Stone ... Stent: < 2 cm stone ... URS: Ureteric stone

Ureterovesical Junction Stone on Bladder Ultrasound (Transverse View)

This is a transverse plane through the bladder. Bones,

Ureterovesical Junction Stone ... Bones, stones, air ... large L ureteral stone ... Ureteral stones ... #Bladder #POCUS

Bladder Stone with Twinkle Artifact on POCUS
Twinkle artifact isn't just for renal stones, check out this

Bladder Stone with ... Twinkle Artifact on POCUS ... just for renal stones ... out this bladder stone ... CincySono #Bladder #Stone

Impacted Gallbladder Stone on POCUS
20 M with recurrent epigastric pain, planned for OGD. POCUS :

Impacted Gallbladder Stone ... on POCUS 20 M with ... GB stone. ... symptomatic GB stones ... #Gallbladder #Stone

Twinkle Sign - Bladder Stone on Doppler Ultrasound

Obstructive uropathy is evidenced on POCUS by hydronephrosis, but

Sign - Bladder Stone ... is evidenced on POCUS ... hydronephrosis, but renal stones ... waves strike a stone's ... Sign #Bladder #Stone

Impacted Gallbladder Stone on POCUS
20's female with RUQ pain x 20 hrs. Has positive Murphy's. Vitals

Impacted Gallbladder Stone ... on POCUS 20's ... impacted large stone ... , small mobile stones ... #Gallbladder #Stone

Pancreatic Duct Stones on Ultrasound
Dilated pancreatic duct with calculi in pancreatic duct. Helpful tip- If pancreatic

Pancreatic Duct Stones ... caused by these stones ... Stone resolution ... Pancreatic #Duct #Stones ... #Ultrasound #POCUS

Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD

Artifact of CBD stone ... exclusive to urinary stones ... this dancing CBD stone ... #POCUS Can also ... Artifact #CBD #stone

Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%

Differential Diagnosis Algorithm ... Non-calcium 10% of stones ... Uric Acid Stones ... - Struvite Stones ... - 10% of stones

UVJ Stone on Bladder Ultrasound

Bladder TRV clip shows right distal UVJ stone with twinkle artifact with

UVJ Stone on Bladder ... right distal UVJ stone ... Robert Jones @RJonesSonoEM ... #UVJ #Stone ... Jet #clinical #pocus

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