1) The document reports on a field experience in the surgery department of Chengdu 5th Hospital, where the student observed cases of urolithiasis (kidney stones). 2) Urolithiasis is increasingly common worldwide, with calcium oxalate being the most common type of kidney stone. Risk factors include genetics, anatomy, drugs, diseases, and mental factors. 3) Treatments observed included using antibiotics, analgesics, fluids, alpha blockers, and extracorporeal shock wave lithotripsy to break up stones less than 6mm. Larger stones may require percutaneous nephrolithotomy or other surgical procedures.

1. 成都中医药大学.医学与生命科学学院
中西医临床医学（留学生班）专业课内见习报告
CDUTCM School of Medicine and Life Sciences
Field experience report of Western and Chinese Clinical Medicine
(international student)
科目 Subject：___________
姓名 Name
Muhammad
Shoaib Javed
学号 Roll
number
201760123
成 绩
Grade
5th
班级 Batch 2017
评阅人
Teacher
见习时间
Time
地点（医院）
Location
Chengdu 5th Hospital
科室
Department
Surgery 病种 Disease
Urolithiasis
见习内容：Fieldexperiencecontent
∆Urolithiasis:-
It is the formation of stones ( Calculi)in the kidney,bladder and urethra -is
increasingly common ,with a rate of approximately 12% worldwide, and it is
associated with an enhanced risk of end stage renal disease.The most common form
of kidney stones is calcium oxalate(CaOx)on the renal pupillary surface.
∆Causes and Risk Factors:-
•Genetically determined stoneformation( Hyperuricemia)
•Anatomical and Environment.
•Drug Induced
•Diseaseassociated with stoneFormation .
•Mental Risk
∆Stone Types:-

2. •Calcium stones(85%). Most kidney stones are calcium stones, usually in the form of
(calciumoxalate).
•Struvite stones. Struvitestones form in responseto a urinary tractinfection.
•Uric acid stones.(5_10%)
•Cystine stones.
•Cystine and Xanthine stones.
•PhosphateStones (10%).
∆Clinical Features:-
•Pain in the renal angle and may transmitto groin.
•Haematuria:-( in this condition Bleeding us microscopic).
•Pyuria:-Struvitestones Causepylonephrities and Infection .
∆Investigations:-
•Ultrasonography
•CTKUB
•IVU
•X ray KUB
∆Treatment:-
For a stone less than 6mm is managed conversationally .We give antibiotics,
analgesia and plenty of fluid is advised(3L,1day). Temsulosin given atnight.
∆Surgical Management:-
•Extracorposealshock wavelithotripsy.
•Percutaneous Nephrolithotomy ,retrogradeintrarenalsurgery .
•Pylothotomy partial nephrectomy,theseallare treatment of choic.
•Uretic stone:-Mostly uretic stones pass spontaneously but there are 5 sites of

3. narrowing where they can stuck ,PUJ ,crossing of iliec vessels,crossing of vas
entrancein bladder wall and opening.
∆Clinical Features:-
Pain:-The uretic stones produce severe colicky pain.The patient are doubled up
cannot lie straightstrangury, Hematuria.
∆Diagnosis:-
•X ray KUB
•IUV
•USG KUB
•NC CT
∆Treatment:-
•Medical treatment is supportive.
∆Surgical:-
•Urethroscopic stonetreatment.
•J.J stents
•Dormia basket,Open surgery
见习体会：Fieldexperiencereflections
There is a 27 years old young male presented to S.E.R with severe pain on left side
of abdomen.The patient stated that he was ignoring this condition from several
months.
Before it was just mild pain on flank that often transmit to back .He often have
painful micturition. He noticed redness of urine a few days back .
•An emergency bedside ultrasound was done that shows a renal colic acid and

4. hydronephrosis.Thestonemeasuring were4mm ×9mm.
•For the time being IV fluids and analgesia was provided and alpha blocker
temsulosin was given.
•Stone dissolving drugs werestarted ,butthere is no responsein return.
•The patient underwent extracarporalshock wavelithotripsy.
•In the End ,thesestones wereremoved while urination.
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注：见习内容和见习体会可另附页。
Note: Additional pages can be attachedfor the content and reflections.