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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Assessment of the Abdomen II: Percussion01:18

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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
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Nursing Assessment of the Genitourinary System III: Percussion and Auscultation01:22

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The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
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Urinary Tract Calculi V: Nursing Management01:28

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Assessment of the Abdomen III: Palpation01:23

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Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
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Updated: Apr 24, 2026

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[Pain evaluation during extracorporeal lithotropsy].

A Schoenig1, N Vedrine1, T Costilles1

  • 1Service d'urologie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 58, rue Montalemberg, 63000 Clermont-Ferrand, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|September 7, 2014
PubMed
Summary
This summary is machine-generated.

Extracorporeal lithotripsy is feasible without routine pain medication, with most patients tolerating the procedure well. Anxiety significantly impacts pain perception, suggesting psychological support could improve patient experience and management.

Keywords:
AnxietyAnxiétéDouleurLithiase urinaireLithotritie extra-corporellePainShock wave lithotripsyUrolithiasis

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Area of Science:

  • Urology
  • Nephrology
  • Pain Management

Context:

  • Urinary tract stones (urolithiasis) are a common condition requiring effective treatment.
  • Shock wave lithotripsy is a standard non-invasive procedure for stone removal.
  • Pain management is a critical aspect of patient comfort and procedural success.

Purpose:

  • To assess the feasibility and patient tolerance of extracorporeal lithotripsy (ECL) performed without analgesic medication.
  • To evaluate pain perception and identify factors influencing tolerance during ECL.
  • To explore the potential for reducing routine analgesic use in ECL procedures.

Summary:

  • A study surveyed 591 patients who underwent ECL without analgesics, with a 69% response rate.
  • Approximately 70% of patients reported minimal to no pain, with an average pain score of 3.6/10 on the Visual Analog Scale (VAS).
  • Pain was multifactorial, influenced by treatment duration and positioning; anxiety was a significant predictor of higher pain scores (VAS 4.5 vs. 2.9).

Impact:

  • ECL can be effectively performed without systematic analgesics, facilitating outpatient management.
  • Anxiety management, potentially through prophylactic anxiolytics based on patient profiles, could improve session tolerance.
  • This approach may lead to less aggressive and more cost-effective urolithiasis management.