colic.pptx
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Renal colic and ureteral colic present with sudden, unilateral pain that progressively increases in intensity. The pain is throbbing, aching, and gnawing, originating from the flank and radiating to the genitalia and thigh. Associated symptoms include dysuria, intermittent pain, hematuria, nausea, vomiting, fever, and hypotension in severe cases. The mechanism involves increased pressure in the urinary tract from obstruction, dilating the renal pelvis which can lead to kidney atrophy over time. Renal colic presents as dull, visceral pain in the flank radiating to the front, lasting 5-10 minutes or hours. Fever, leukocytosis, and protein in the urine indicate potential
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NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
colic.pptx
- 2. URETERAL COLIC PAIN: (con dau quan than) O: sudden,unilateral, progressively increasing in an episode P: patients struggle to find a relieved position Q: throbbing, aching, gnawing R: from flank subcostal, lumbar region- radiates along reflection of ureter to genitalia, medial thigh S: 7-8 VAS T: lasts 5-10 minutes or even for hours A: + dysuria (tiểu buốt) + intermittent (tiểu ngập ngừng) + pain in bladder reflected region and sometimes in rectum + hematuria (tiểu máu) + nausea, vomiting: associated symptoms of vicerla pain + fever>38 C, tachycardia, hypotension potential sepsis, UTI + oliguria: <500ml/24h (anuria <100ml/24h)
- 3. Mechanism: suddenly pressure increase in urinary tract in upper of obstruction site + Acute obstruction in uterter dilation of renal pelvis and calyces, may result in kidney atrophy + The high pressure in the pelvis is transmitted back through the collecting ducts into the cortex, causing renal atrophy, but it also compresses the renal vasculature of the medulla, causing a diminution in inner medullary blood flow + pressure increasing intra ureter lumen trigger the muscular layer to increase constriction frequency also trigger the pain receptor.
- 5. RENAL COLIC PAIN: (đau hố sườn lưng) O: sudden (acute), constantly painful (chronic) P: Q: dull, visceral pain R: most painful site- flank subcostal, lumbar region- radiates to the front toward umbilicus or no radiation S: T: lasts 5-10 minutes or even for hours A: + high fever, chills, elevated Leukocytes. Leukocyte and protein in urine potential acute inflammation in kidney pelvis (viem than be than cap) or perinephrotitis (viem tay quanh than) vo hong lung (+) Mechanism: Distension of renal capsule or renal pelvis: When there is an obstruction in colleting system, intr -Bowman capsule pressure rises deacrease filtrate pressure sensed by juxtaglomerular system activate RAAS system increase in renal blood flow worsening the situation due to more fluid escaping the capilaries into interstial space
- 8. Innervation of kidney and ureter: - Kidney - Upper part ureter:
- 9. Innervation Medium part ureter: Lower part ureter:
- 10. Blood supply:
- 11. Reflection of kidney on abdominal anterior wall and related organs 1. posterior
- 12. Reflection of kidney on abdominal anterior wall and related organs 1. Anterior Right: ¾ anteriolateral surface- inferiorly to right liver lobe - Medial border: DII duodenum - Lower part, anterior- right corner of colon Right: - 2/3 anterior lateral – spleen - Half of medium surface, medial one – pancreas tail - Lower part – lateral: left corner of colon - Medial: first Kerckring folds
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