Urolithiasis.pptx
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This document summarizes a 35-year-old female patient's history of urolithiasis (kidney stones). She presented with bilateral loin pain for 10 hours, along with fever, nausea and vomiting. Tests at another hospital revealed a 10mm kidney stone in her upper ureter. Her medical history included recurrent kidney stones 9 years ago and prior surgeries. Her physical exam showed tenderness in her left lumbar region. She is being treated with medications while waiting for potential ESWL (extracorporeal shock wave lithotripsy) surgery if medical expulsion therapy fails to remove the stone.
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- 1. Urolithiasis PREPARED BY:- MOHAMMED ATTA AYUB OMER AZHWAN RASUL
- 2. Short History / 35 year old female married female whose a housewife lives in bazian Date of admission :- 19/8 at 8 pm Date of examination:- 22/8 at 8 am Presented with Bilateral loin pain for 10 hours before admission
- 3. History of present illness The condition started with sudden severe intermittent pain evry 2-3 min at both side of her loin stabbing in character No radiation Associations:- Fever(continuous,low grade)Rigor, N&V 3 times no blood Aggravated by movement and relieved by medication Dark yellow urine,urgency,hematuria at beginning of micturation with 15 times no incontinence or dysuria
- 7. She went to shar hospital and after doing her blood work,KUB and US she was reffered to teaching hospital in the next day where they gave her IV fluid and did CT where she was diagnosed with 10mm stone at upper ureter
- 9. Review of system GIT:- N&V, upper abdominal pain no diarrhea or constipation RS:- -ve CVS:- Swelling of leg and eye relieved by medication only at time of pain GUS:- ----- CNS:- dizziness MS:- weakness,leg swelling
- 10. Drug history:-NKDA, no chronic drug use PMH:- reccurent kidney stone 9 years ago PSH:-tonsillectomy 16 years ago,GA,No complication URS 4 year ago,RA,no complication Family history:- Mother has DM and HTN,brother having recurrent kidney stone
- 11. Social history:- Own house,4 children with Normal vaginal dilevery (2003,2006,2016,2017) with episiotomy ,No Smoking or alcohol ,no pets or domestic animals
- 12. Vitals and Physical Examination BP:-115/70 Pulse:- 72 SPO2:- 96% Temp:- 36.9 Physical examination patient was sitting on the bed conscious ,co operative,alert and oriented ,comfortable with blue cannula on her rt hand ,No (pallor,jaundice,cyanosis)or dysmorphic features Abdomen was soft and tender at left lumber region with no abnormal mass and normal movement with respiration ,No striae or pigmentation Normal tympanic on percussion No bruits heard on auscultation with normal bowel sounds
- 13. Treatment Medications/ Paracetamol bottle 1*3 Tamsulosin tab 1*1 1500cc N/S and 1000G/W Ceftriaxone vial 1G *2 Tramal amp 1*1 Surgery/ Waiting on ESWL in case of failure of MET
- 14. Thanks