Urolithiasis 2 Flashcards by Shea Green

Q

Which tx?

Indications: failure of / contraindications to other modalities
- trial of passage
- dissolution
- ESWL
- Ureteroscopy w/ stone manipulation
- PCNL

A

Open or Laparoscopic Surgery

(not common, is usually last resort)

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Q

4 types of Open / Laparoscopic Surgery

A

Cystolithotomy (large stone burden, other concomitant surgery)
Pyelolithotomy
Ureterolithotomy
Anatrophic nephrolithotomy (Brodel’s avascular plane)

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Q

5 components of metabolic eval to prevent future stones

A

H&P
UA
Stone analysis
Serum labs (electrolytes, uric acid, Ca, phosphate, alkaline phosphatase, creatinine)
24 hour urine collection

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Q

A

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