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Ultrasound Preferred procedure in pregnant women and in patients allergic to IV contrast. Not dependent on the composition
US: Lower pole calculus ... #Clinical #POCUS ... Nephrolithiasis #KidneyStones ... IVContrastAllergies #Diagnosis #calculus
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
Modalities for Renal Calculus ... to identify non-calculus ... Useful for non-calculus ... Imaging #Modalities #Calculi ... Kidney #stones #calculus
Types of Renal Calculi Calcium oxalate - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
Types of Renal Calculi ... heart failure #Calculi ... diagnosis #causes #calculus
UROLITHIASIS 80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),
staghorn or large calculus ... struvite #stone #kidneystones ... flankpain #PCN #calculus
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
or other tumor, Calculi ... - Malignancy, Calculi ... Schistomiasis, Malignancy, Calculi
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Painful: suggests calculi
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Tubulolnterstitial • Calculi ... • BPH • Calculi
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
POST-RENAL Urinary calculi
Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
Acute “calculus” ... jchristianfox #Clinical
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 Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
OBSTRUCTIVE • Urinary calculi
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