renal calculi

Descrição

Paediatrics (kidneys ) Mapa Mental sobre renal calculi, criado por v.djabatey em 30-01-2014.
v.djabatey
Mapa Mental por v.djabatey, atualizado more than 1 year ago
v.djabatey
Criado por v.djabatey mais de 10 anos atrás
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Resumo de Recurso

renal calculi
  1. uncommon in childhood
    1. so if occurring, look for predisposing causes
      1. UTI
        1. structural anomalies for urinary tract
          1. metabolic abnormalities
        2. types
          1. phosphate stones
            1. commonest
              1. assoc w/ infection
                1. esp Proteus
              2. Ca2+ containing
                1. idiopathic hypercalciuria
                  1. the commonest metabolic abnormality
                  2. increased urinary urate & oxalate excretion
                    1. nephrocalcinosis
                      1. = deposition of Ca2+ in renal parenchyma
                        1. can occur w hypercalciuria, hyperoxaluria & distal renal tubular acidosis
                          1. a complication of furosemide therapy in neonates
                        2. rare
                          1. cystine
                            1. xanthine
                          2. presentation
                            1. haematuria
                              1. loin or abdo pain
                                1. UTI
                                  1. passage of a stone
                                  2. Mx
                                    1. lithotripsy or surgery
                                      1. for stones not passed spontaneously
                                        1. & repair of any structural abnormality
                                        2. high fluid intake recommended for all kids
                                          1. if metabolic abnormality, specific therapy

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