This document presents a case study of a 35-year-old female patient who presented with nausea, lower back pain, and right abdominal pain and was diagnosed with a 5.4mm kidney stone in her right kidney based on abdominal sonography. Laboratory tests including a complete blood count, urine analysis, and biochemistry were performed. The patient was prescribed medications including Cystone, Zenflox UTI, Zerodolspas, Ranidom, and Aristozyme to treat the kidney stone and associated symptoms along with counseling on diet and lifestyle changes. Drug interactions between the prescribed medications were also noted.

1. KIDNEY STONE
Presented By:-
KAMLESH A. WADILE
(B. Pharmacy)

2. Proforma:-
Name : ABC
Sex : Female
Age : 35
Address : Shirpur,Dist. Dhule
Hospital Name : Gaurav Hospital
Hospital Add. : Shirpur,Dist. Dhule
Physician Name : Dr. S.R. Wadile

3. Social History :
non-vegetarian , non-alcoholic
Family History :none
Associated Disease :none
Past medical history :nil
Past medication history :nil

4. Patient Complaint : Nausea, pain at lower back,
right side abdominal pain
Diagnosis : Kidney stone (renal calculus)
• KIDNEY STONE :-
‘ Kidney stone or renal calculus or nephrolith , is a
calculus formed in the kidneys from minerals in the urine.’

5. ABDOMINAL SONOGRAPHY
(5.4mm of calculus noted in lower calyx of right kidney.)

6. HAEMOGRAM
TEST NAME RESULT UNITS REFERENCE
RANGE
Haemoglobin 9.5 gm% 12-16
R.B.C Count 3.92 mill/cmm 3.8-4.8
W.B.C Count 5300 /cu.mm 4000-10,000
Platelet Count 2,12,000 /cumm 140,000-
440,000

7. Differential WBC Count
TEST NAME RESULT REFERENCE
RANGE
Neutrophils 60% 60-70%
Lymphocytes 35% 20-40%
Eosinophils 02% 1-6%
Monocytes 03% 2-5%
Basophils 00% 0.5-1%

8. Urine Analysis
1. Physical Examination
Quantity : 10 ml
Colour : Light Yellow
Appearance : Clear
2. Microscopic Examination
Epithelial cells :1-2Hpf
Pus Cells : 3-4Hpf
Red Blood Cells : nil
Crystals : nil
Bacteria : nil

9. 3. Chemical Examination
Reaction (PH) :Acidic
Albumin : Nil
Sugar : Nil
Acetone(Ketone) : Nil
Bile Salt : Nil
Bile pigment : Nil
BIOCHEMISTRY
S.G.P.T. Level : 20.17 (5-40 U/ml)
Creatinine Level : 1.0 (0.7-1.4 mg%)
Calsium Level : 8.83(8.7-11mg/dl)

10. Medication Details
Sr
No
Medication
(drug)
Doses Frequency Rout
e
Category Price
1 Tab. Cystone
(shilapushp
a)
130
mg
TD Oral Antilithiatic &
lithotriptic
-
2 Tab. Zenflox
UTI
(ofloxacin)
200
mg
TD Oral antimicrobial -
3 Tab.
Zerodolspas
(aceclofena
c)
100
mg
TD Oral antiinflammato
ry
-
4 Tab.
Ranidom
(ranitidine)
10 mg TD Oral antacid -
5 Liq.
Aristozyme
1 mg TD Oral digestive -

11. 1)OFLOXACIN:-Increases effect of
anti-coaggulants.
2)ACECLOFENAC:- This may also
enhance activity of anti-
coaggulants.
DRUG INTERACTION

12. Patient counseling
 Drink enough quantity of water.
 Avoid eating of more calcium containing
food or diet.
 Eat fruit, vegetables & whole grains.
 Avoid food high in oxalates.

13.  References
K.D.Tripathi “Essentials of Medical
Pharmacology”, Sixth edition , JaypeeBrothers
Medical Publishers.
www.cimsasia.com
 www.mims.com
 www.drugdigest.com
 www.en.m.wikipedia.org/wiki/kidneystone