1
Q
Nephrolithiasis sxs
A
CVA tenderness
UA + hematuria
N/V
2
Q
What imaging should be ordered and what can be seen?
Nephro
A
CT no contrast- can see stone and possible hydronephrosis
2nd line- US of kidneys and bladder
3
Q
Nephrolithiasis treatment
A
Pain control + hydration
- NSAIDS or opioids
- Toradol in ED
4
Q
What size stone will probably pass spontaneously?
A
= 5 mm
5
Q
What size stone will probably not pass spontaneously?
A
> /= 10mm
6
Q
Between what size stones can you use medical expulsive therapy and what else is given?
A
5-10
Start with Tamsulosin (Flomax)- up to 4w
others: CCB (nifedipine), Tadalafil (PDE5 inhibitor)
7
Q
Urease producing bacteria
A
Proteus mirabilis
Klebsiella pneumoniae
Corynebacterium species
Ureaplasma urealyticum
Summer
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