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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

11
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...
11
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

9
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)...
9
Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

11
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
11
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

14
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...
14
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

50
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
50
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

30
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
30

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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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Does a Multidisciplinary Pediatric Stone Center Improve Outcomes?

William DeFoor1, Eugene Minevich1, Elizabeth Jackson2

  • 1Division of Pediatric Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Urology Practice
|June 10, 2023
PubMed
Summary
This summary is machine-generated.

Establishing a multidisciplinary pediatric stone center significantly reduced surgical procedures and emergency department visits for children with urolithiasis. This approach improves clinical outcomes for pediatric stone disease.

Keywords:
nephrolithiasispain clinicstreatment outcome

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Area of Science:

  • Pediatric Nephrology
  • Pediatric Urology
  • Public Health

Background:

  • Urolithiasis (kidney stones) is increasingly common in children in the U.S.
  • A dedicated multidisciplinary pediatric stone center was established in 2014 to manage this rising health concern.
  • This study evaluates the center's development and patient outcomes.

Purpose of the Study:

  • To assess the development and clinical outcomes of a multidisciplinary pediatric stone center.
  • To determine the impact of the center on surgical procedures, emergency visits, and imaging.

Main Methods:

  • Retrospective cohort study of pediatric patients (<21 years) with >6 months follow-up.
  • Data collected included demographics, treatments, and clinical visits.
  • Compared surgical procedures, emergency department visits, and CT scans before and after center enrollment.

Main Results:

  • 264 pediatric patients met inclusion criteria; 60% had metabolic abnormalities.
  • Surgical procedures decreased from 39% to 17% post-enrollment (p<0.0001).
  • Emergency department visits dropped from 1.4 to 0.6 per year (p<0.0001); CT scan use decreased slightly (p=0.3).

Conclusions:

  • A multidisciplinary pediatric stone center is a feasible model for coordinated care.
  • Enrollment in the center led to significant reductions in surgical interventions and emergency visits for pediatric stone disease.