116 results
UROLITHIASIS 

80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),
facilitates struvite stone ... Uric acid stone ... idiopathic uric acid stone ... uretericcalculus #struvite #stone ... #kidneystones #hydronephrosis
Twinkle Sign - Bladder Stone on Doppler Ultrasound

Obstructive uropathy is evidenced on POCUS by hydronephrosis, but
Sign - Bladder Stone ... is evidenced on POCUS ... by hydronephrosis ... ultrasound waves strike ... Sign #Bladder #Stone
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Complex Hydronephrosis ... on Renal POCUS ... Infected stone. ... eabramsMD #Complex #Hydronephrosis ... #POCUS #Renal #
Ureterovesical Junction Stone on Bladder Ultrasound (Transverse View)

This is a transverse plane through the bladder. Bones,
Ureterovesical Junction Stone ... large L ureteral stone ... with ipsilateral hydronephrosis ... Junction #UVJ #Stone ... #Bladder #POCUS
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
• Try retrieve stone ... strainer: send for stone ... ELECTIVE: - Stone ... Stent: < 2 cm stone ... URS: Ureteric stone
Ureteral Stone on Renal POCUS

A 23yo male with no significant PMHx presents with acute LLQ pain,
Ureteral Stone on ... Renal POCUS ... hydroureter, prox stone ... #Ureteral #Stone ... #Hydroureter #Hydronephrosis
Nephrolithiasis and Hydronephrosis on POCUS

40 yo F presents with unilateral abdominal pain and n/v.
The transducer is
on POCUS 40 ... non-obstructing renal stone ... & renal stone, ... obstructing UVJ stone ... #POCUS #clinical
Distal Ureteral Stone
Pregnant woman (about 8 weeks by dates but no prenatal care yet) presents with
Distal Ureteral Stone ... distal ureteral stone ... diagnosis of ureteral stone ... had mild right hydronephrosis ... Distal #Ureteral #Stone
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
Renal Pelvis Stone ... on POCUS A patient ... A large renal stone ... concerning for septic stone ... Renal #Pelvis #Stone
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 ... Medications #Recurrent #Management