Handbook kidney stone

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Have you ever had a coworker that just cracked you up? Infection may also occur after invasive procedures for stone removal. Some of these complications may cause kidney damage and compromised renal function. Already a member or subscriber? Log in. Interested in AAFP membership? Learn more. Author disclosure: Glenn M. Kidney stones. Clin Evid Handbook. The medical information contained herein is the most accurate available at the date of publication.

Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Enlarging Mass on the Back. Mar 15, Issue. Enlarge Print Clinical Questions What are the effects of interventions for the removal of asymptomatic renal or ureteric stones? Likely to be beneficial Extracorporeal shock wave lithotripsy Percutaneous nephrolithotomy Unknown effectiveness Ureteroscopy What are the effects of interventions for the removal of symptomatic renal stones?

Likely to be beneficial Alpha blockers Extracorporeal shock wave lithotripsy in persons with mid- and distal symptomatic ureteric stones Extracorporeal shock wave lithotripsy in persons with symptomatic proximal ureteric stones Ureteroscopy in persons with mid- and distal symptomatic ureteric stones Ureteroscopy in persons with symptomatic proximal ureteric stones Unknown effectiveness Open or laparoscopic ureterolithotomy What are the effects of interventions for the management of acute renal colic?

Clinical Questions What are the effects of interventions for the removal of asymptomatic renal or ureteric stones?

Definition Nephrolithiasis is the presence of stones within the kidney; urolithiasis is a more general term for stones anywhere within the urinary tract. Incidence and Prevalence The age of peak incidence for stone disease is 20 to 40 years, although stones are seen to occur in all age groups.

Etiology and Risk Factors Kidney stones develop when crystals precipitate from the urine and aggregate within the kidney papillae, renal pelvis, or ureter. Prognosis Most kidney stones pass within a few days to several weeks with expectant treatment including adequate fluid intake and analgesia.

Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. More in Pubmed Citation Related Articles. Email Alerts Don't miss a single issue. They suffer from confusion.

They have stones, one or many. Surgeries occur, or not. CT scans show this number of stones, or that number. Physicians may say contradictory things, or things that seem contradictory.

And all the while new stones may form, more pain attacks may come, and lay to waste life otherwise spent in pursuit of work and family happiness. As a way out, people seek remedies, on the web, from friends, from physicians, of course, and often they do not work.

Or, they do work but seem not to. Phenotype is a medical term physicians use to identify groups of patients who share diagnoses and treatments in common. Although every kidney stone former has unique traits that need attention, they can be grouped into phenotypes for which certain general treatment approaches have been tried and found valuable.

Within those general approaches refined treatment answers to those unique details particular to a given patient. Your Name When successful, the process of this chapter grants you a name.

That name sums up where you fit in as a type of patient. Because patients within a given type have in common causes of stones, treatments and trials, and long term outlooks — so called prognoses you want to know where you fit in. That name is the name … Continued. You have idiopathic calcium stones. That means much of this site applies to you and your disorder. But the many articles read without a guide or sequence can confuse. You would be best off reading here, and following links as they come up.

Of course you are free to browse as you like, but if you want a guide, I am here. Begin Here You should not use this chapter unless you have come to it by the right … Continued. They follow standard practice. The defects lie in those of us who study the data and fail to make ourselves useful by making ourselves clear. Let me be clear, then. Ideally, prevention should start before the first stone. Water is Great Water as a treatment is spectacular.

It undoes the very process of renal water conservation that creates supersaturation. Supersaturation is the beginning … Continued. With all my heart I tried to make it plain enough for people in general to get a sense of how things work, but looking back on it, I doubt many will.

Anyway, this book structure makes a place for summary and synthesis.