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Kidney
Stone
Prepared by:
Mustafa Salar Jamal
Supervisor: Beriwan Abdulqadir
Around 12%
of the world population
has kidney stones.
Source: Adv Urol.2018
Kidney stones (renal calculi) are
small, hard deposits of
minerals & acid salts on the
inner surfaces of the kidneys
(bladder, renal tubules, ureter)
Kidney Stones
• Composed of metabolic products
present in glomerular filtrate
• These products are high conc.
Stones are classified by their location in the
urinary system and their composition of crystals
Types of Stones
• Calcium Oxalate %80
Most common
diet rich in oxalates
• calcium Phosphate ~
inborn errors
• Struvite %10
Commonly a result of UTI.
• Uric Acid %8
Caused by high protein diet and gout.
• Cystine ~%2
Fairly uncommon
form in acidic urine
Causes of Kidney Stones
Reduction in the
urine volume
Deficiency of stone-
forming inhibitors
Kidney Stone Formation
• Highly concentrated metabolic product in urine
- Low urinary volume,
- increased fluid loss,
- exertion metabolic prodoct
- high plasma volume
• Change in urine PH
- bacterial infection,
- precip. Salts
• Urinary stagnation
- obstruction of urinary flow
Causes
Kidney Stone Formation
• UTI (Urine PH > 8 )
• Medications
 Lasix, Topamax, Crixivan
Signs of Kidney Stones
Pain in the abdomen
or back region
Nausea and vomitingBlood in urine
Signs of Kidney Stones
Increased
urination
Painful
urination
Foul-smelling
urine
Problems due to
Kidney Stones
If not treated, it may lead to:
Chronic kidney
disease
Urinary tract
infection
Blockage of the
Urinary tract
Diagnosing
Kidney Stones
Kidney Stones can be diagnosed by:
Blood test UltrasoundUrine analysis CT scan
Methods to remove
Kidney Stones
Kidney Stones are removed
either by:
Pain medications Lithotripsy (ESWL)Medicines to pass
the stones easily
in urine
Kidney Stones are removed
either by:
Ureteroscopy Open surgeryTunnel surgery
(percutaneous
nephrolithotomy)
5 diet measures to curb
Kidney Stones
Drink enough water
5 diet measures to curb
Kidney Stones
Limit salt
5 diet measures to curb
Kidney Stones
Limit animal proteins
5 diet measures to curb
Kidney Stones
Limit foods high in oxalates like berries, nuts and soya
5 diet measures to curb
Kidney Stones
Cut down cola and sugars
References
Ackley, B.J., & Ladwig, G.B. (2006). Nursing diagnosis handbook. St. Louis: Mosby, INC..
(2009). Kidney Stones. Retrieved from http://www.wrongdiagnosis.com/k/kidney_stones/stats.htm
(2009, September 30). Kidney Stones. Retrieved from
http://www.nlm.nih.gov/medlineplus/kidneystones.html
KEEP CALM
AND
LOVE YOUR
KIDNEY
THANK YOU

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Kidney stone

  • 1. Kidney Stone Prepared by: Mustafa Salar Jamal Supervisor: Beriwan Abdulqadir
  • 2. Around 12% of the world population has kidney stones. Source: Adv Urol.2018
  • 3. Kidney stones (renal calculi) are small, hard deposits of minerals & acid salts on the inner surfaces of the kidneys (bladder, renal tubules, ureter) Kidney Stones • Composed of metabolic products present in glomerular filtrate • These products are high conc.
  • 4. Stones are classified by their location in the urinary system and their composition of crystals
  • 5. Types of Stones • Calcium Oxalate %80 Most common diet rich in oxalates • calcium Phosphate ~ inborn errors • Struvite %10 Commonly a result of UTI. • Uric Acid %8 Caused by high protein diet and gout. • Cystine ~%2 Fairly uncommon form in acidic urine
  • 6. Causes of Kidney Stones Reduction in the urine volume Deficiency of stone- forming inhibitors
  • 7. Kidney Stone Formation • Highly concentrated metabolic product in urine - Low urinary volume, - increased fluid loss, - exertion metabolic prodoct - high plasma volume • Change in urine PH - bacterial infection, - precip. Salts • Urinary stagnation - obstruction of urinary flow Causes
  • 8. Kidney Stone Formation • UTI (Urine PH > 8 ) • Medications  Lasix, Topamax, Crixivan
  • 9. Signs of Kidney Stones Pain in the abdomen or back region Nausea and vomitingBlood in urine
  • 10. Signs of Kidney Stones Increased urination Painful urination Foul-smelling urine
  • 12. If not treated, it may lead to: Chronic kidney disease Urinary tract infection Blockage of the Urinary tract
  • 14. Kidney Stones can be diagnosed by: Blood test UltrasoundUrine analysis CT scan
  • 16. Kidney Stones are removed either by: Pain medications Lithotripsy (ESWL)Medicines to pass the stones easily in urine
  • 17. Kidney Stones are removed either by: Ureteroscopy Open surgeryTunnel surgery (percutaneous nephrolithotomy)
  • 18. 5 diet measures to curb Kidney Stones Drink enough water
  • 19. 5 diet measures to curb Kidney Stones Limit salt
  • 20. 5 diet measures to curb Kidney Stones Limit animal proteins
  • 21. 5 diet measures to curb Kidney Stones Limit foods high in oxalates like berries, nuts and soya
  • 22. 5 diet measures to curb Kidney Stones Cut down cola and sugars
  • 23. References Ackley, B.J., & Ladwig, G.B. (2006). Nursing diagnosis handbook. St. Louis: Mosby, INC.. (2009). Kidney Stones. Retrieved from http://www.wrongdiagnosis.com/k/kidney_stones/stats.htm (2009, September 30). Kidney Stones. Retrieved from http://www.nlm.nih.gov/medlineplus/kidneystones.html