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Medical Management of  Renal Calculi
Oscar
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The 1st Kidney Stone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asymptomatic Nephrolithiasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The 1st Kidney Stone ,[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS
Risk factors for calcium stones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk factors for calcium stones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Frequency of biochemical abnormalities in the urine by gender and stone formation status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goal of Diagnostic Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conservative Approach
Conservative Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conservative Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Crystals ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stone Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Conservative Approach ,[object Object],[object Object],[object Object],[object Object]
Approach Based Upon Risk Assessment
Risk Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Moderate-High Risk ,[object Object],[object Object],[object Object],[object Object],[object Object]
Abbreviated Protocol ,[object Object],[object Object]
Laboratory Tests ,[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object]
Radiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Urine Stone Risk Profile ,[object Object],[object Object],[object Object]
 
24 hr Urine Collections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Urine Analysis
Uric Acid Crystals ,[object Object],[object Object]
Calcium Oxalate Cystals ,[object Object],[object Object],[object Object]
Calcium Oxalate Crystals ,[object Object],[object Object]
Cystine Crystals ,[object Object],[object Object]
Phosphate Crystals ,[object Object],[object Object]
Indinavir Crystals ,[object Object],[object Object],[object Object]
Preventive treatment in Calcium Stone Disease
General Recommendations ,[object Object],[object Object]
High Fluid Intake ,[object Object],[object Object],[object Object],[object Object],[object Object]
Protein load increases urine stone-forming tendency  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limit Oxalate  ,[object Object],[object Object],[object Object],[object Object]
Limit Urate (Not >500mg/d) ,[object Object]
Limit Sodium
Pharmacological Agents ,[object Object],[object Object],[object Object],[object Object]
Thiazide/ Thiazide like agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alkaline Citrate ,[object Object],[object Object],[object Object],[object Object]
Alkaline Citrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Allopurinol ,[object Object],[object Object],[object Object]
Allopurinol prevents stones in hyperuricosuria  ,[object Object]
Other Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Surgical Management
Surgical Management Renal and Ureteral Stones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Indications for Active Stone Removal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Active Stone Removal ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Management Renal and Ureteral Stones ,[object Object],[object Object],[object Object],[object Object]
Choice of Intervention ,[object Object],[object Object],[object Object],[object Object]
Percutaneous Nephrostolithotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Percutaneous Nephrostolithotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Percutaneous Nephrostolithotomy ,[object Object],[object Object],[object Object]
Ureterorenoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL ,[object Object]
ESWL- Complication ,[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL- Complication ,[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL- Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL- Complication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL- Complication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ESWL- Complication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open Stone Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I-toilet
 
 
 
 
 

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