Urolithiasis: Difference between revisions
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| Line 9: | Line 9: | ||
-Proteus, Klebsiella, Pseudomonas, Staphylococcus | -Proteus, Klebsiella, Pseudomonas, Staphylococcus | ||
Uric Acid 6% | Uric Acid 6% | ||
== Pass Rates == | == Pass Rates == | ||
=== Size === | === Size === | ||
4mm ~75% | 4mm ~75% | ||
| Line 21: | Line 21: | ||
>6mm ~10% | >6mm ~10% | ||
=== Location in Ureter === | === Location in Ureter === | ||
#Distal ~70% | #Distal ~70% | ||
| Line 27: | Line 27: | ||
#Proximal ~20% | #Proximal ~20% | ||
== Recurrence Rates == | == Recurrence Rates == | ||
1 yr ~33% | 1 yr ~33% | ||
| Line 36: | Line 36: | ||
#Protease inhibitors and diuretics increases rate | #Protease inhibitors and diuretics increases rate | ||
== Treatment == | == Differential Dx == | ||
Cholelithiasis (5%) | |||
Appy (4%) | |||
Pyelonephitis (3%) | |||
Ovarian cyst (2%) | |||
Renal mass (1.4%) | |||
AAA w/or w/o rupture (1.4%) | |||
[[Image:]] | |||
== Treatment == | |||
== Source == | == Source == | ||
Revision as of 07:54, 26 July 2011
Type
Calcium 75%
-hyperparathyroidism, hypercalcemia of malignancy, sarcoidosis, increased absorption from gut; thiazide diuretics
Struvite 15%
-Proteus, Klebsiella, Pseudomonas, Staphylococcus
Uric Acid 6%
Pass Rates
Size
4mm ~75%
4-6mm ~50%
>6mm ~10%
Location in Ureter
- Distal ~70%
- Middle ~50%
- Proximal ~20%
Recurrence Rates
1 yr ~33%
5yr ~50%
- Incresing H2O intake decreases rate
- Protease inhibitors and diuretics increases rate
Differential Dx
Cholelithiasis (5%)
Appy (4%)
Pyelonephitis (3%)
Ovarian cyst (2%)
Renal mass (1.4%)
AAA w/or w/o rupture (1.4%)
[[Image:]]
Treatment
Source
10/07 DONALDSON (adapted from Tintinalli)