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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

191
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)...
191
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

262
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 VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

366
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...
366
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

348
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,...
348
Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

347
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Updated: Jan 13, 2026

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
03:19

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography

Published on: June 21, 2024

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通过使用非侵入性参数,是否可以预测尿管石的冲击在手术前? 一个前性研究研究.

Mohamed Samir1, Mohamed Rafik Elhalaby1, Amr Moustafa Nasef2

  • 1Urology, Ain Shams University Hospitals, Cairo, Egypt.

Arab journal of urology
|January 9, 2026
PubMed
概括

在非对比计算断层扫描 (NCCT) 上,尿道壁厚度 (UWT) 有效地预测了尿道石的冲击. 这一发现有助于对结石管理进行手术前评估.

关键词:
在CRP中使用CRP.在ESR中,ESR是最重要的.这是NCCT的NCCT.石头撞击的冲击是对石头的影响.在UWTT中,UWT是UWT.尿路透镜可以检查尿路透镜.

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 放射学 放射学是一门学科.
  • 腎臟病學 (nephrology) 是一種醫學專業.

背景情况:

  • 尿路结石是结的常见原因之一.
  • 在手术前确定受影响的尿路结石对于治疗规划至关重要.

研究的目的:

  • 评估非对比计算断层扫描 (NCCT) 参数和急性阶段标记器,以预测尿路结石冲击.
  • 为了确定冲击性尿路结石的可靠的术前指标.

主要方法:

  • 一项涉及70名接受尿路查 (URS) 尿路结石的患者的研究.
  • 分析NCCT参数和急性相反应物 (ESR,CRP) 在受冲击与非受冲击的石群中.
  • 统计分析包括单变量,多变量和ROC曲线分析.

主要成果:

  • 单变量分析确定了石块体积,位置,水解度和尿道壁厚度 (UWT) 作为冲击的预测因素.
  • 多变量分析没有发现石头体积和冲击之间的显著关联.
  • UWT显示出极好的撞击预测值 (82.9%的准确性),切线为1.9毫米.

结论:

  • 石头的位置,水解度和UWT是尿管石块冲击的重要手术前预测因素.
  • UWT是一种高精度的成像生物标志物,用于识别受影响的尿道结石.