Tuesday, April 19, 2016

KIDNEY URETER stones investigations

On clinical examination, a tender palpable kidney may be present.

INVESTIGATIONS
A  plain X-ray abdomen, including the kidney, ureter and  bladder
areas (KUB) should be done.
A urine examination will reveal cyrstaliuria or haematuria.
An  IVP  will give additional information on renal  function  and
result of back pressure on pelvis and kidney (Hydronephrosis).

TREATMENT
Immediate treatment is with antispasmodics and antibiotics.
A  decision has to be taken as regards surgical  intervention.  A
stone less than 5 mm. can pass without help but if it gets  fixed
in  position  and causes hydronephrosis, it has  to  be  removed.
Large  stones causing pain and repeated infection  or  haematuria

also need to be removed.

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