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相关概念视频

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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相关实验视频

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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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一个多学科的儿科石头中心能改善结果吗?

William DeFoor1, Eugene Minevich1, Elizabeth Jackson2

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

Urology practice
|June 10, 2023
PubMed
概括

建立一个多学科的儿科石头中心显著减少了手术手术和急诊室的访问,为儿童患有尿病. 这种方法改善了儿科石头疾病的临床结果.

关键词:
骨髓灰质炎是一种神经病.疼痛诊所 疼痛诊所治疗结果治疗结果

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科学领域:

  • 儿科脏病学 儿科脏病学
  • 儿科泌尿外科 儿科泌尿外科
  • 公共卫生 公共卫生

背景情况:

  • 尿病 (结石) 在美国儿童中越来越常见.
  • 2014年成立了一个专门的多学科儿科石头中心,以管理这种日益严重的健康问题.
  • 这项研究评估了中心的发展和患者的结果.

研究的目的:

  • 评估多学科儿科石材中心的发展和临床结果.
  • 确定中心对外科手术,急诊和影像检查的影响.

主要方法:

  • 儿科患者 (<21岁) 的回顾性队列研究,随访时间>6个月.
  • 收集的数据包括人口统计,治疗和临床访问.
  • 比较手术程序,急诊室的访问,和CT扫描之前和之后中心入学.

主要成果:

  • 264名儿科患者符合纳入标准;60%患有代谢异常.
  • 在入学后,外科手术从39%降至17% (p<0.0001).
  • 急诊室的访问量从每年1.4下降到0.6 (p<0.0001);CT扫描的使用量略有下降 (p=0.3).

结论:

  • 一个多学科的儿科石头中心是协调护理的可行模型.
  • 该中心的招生导致了儿童石头疾病的手术干预和急诊次数大幅减少.