Tuesday, February 26, 2008

Clinical Infectious performance kidney stones

Kidney stones may exist for a long time and asymptomatic, Especially large kidney stones. Smaller stones activities of large and small stones into the ureteropelvic junction or ureter, causing dramatic wiggle to promote the stones from, so there colic and hematuria.
Kidney stones caused pain can be divided into and colic. The vast majority of patients, about 40% to 50% have waist and upper abdominal pain intermittent seizures history. Ridge rib pain usually located angle, waist or abdomen, mostly paroxysmal or persistent pain for. Pain light, it may only showed waist or discomfort, pain attack or labor will increase. Kidney stones colic is a serious knife cuts - like pain, and often sudden attack. Pain often radiation to the lower abdomen, groin, inner thigh, women radiotherapy to labia minora site. Renal colic attack, the patients were acute looks, shrinkage  B25F  in bed, his hands pressed into the abdomen or waist, and even rolling in bed, groaning it, often sustained attack hours, but a few minutes that can be alleviated. When severe renal colic patients was pale, cold sweat hill, veins thin and speed, or even blood pressure dropped, a state of collapse, at the same time, nausea, vomiting, abdominal distension, such as constipation can be misdiagnosed as acute abdomen. In colic attack, urine output reduction, ease colic, there has been a proliferation of urine. After the symptomatic treatment of renal colic mitigation, but also to stop, but eased after a few days, remains weak powerless, waist secret anguish.
Hematuria is another major symptoms of renal calculi. The pain, often accompanied the gross hematuria or microscopic hematuria, the latter most. A large number of gross hematuria is seldom seen in the kidney stones, physical activity, hematuria can be aggravated due to kidney stones duality can be painless hematuria medical treatment.
Patients can have urinary calculi in the gravel from the history, particularly in the pain and hematuria attack, in the urine can be mixed with sand or small stones, stones through the urethra, a plug or pain, the pain and microscopic hematuria suspected kidney stones, X-Show No calcification, should closely observe whether gravel from, such as stone collected, the need for analysis, for information and for the future control.
Apart from infectious stones usually kidney stones performance, there are also its own characteristics. Infectious stones grow fast, large staghorn, on the X-ray image, often accompanied with sustained or repeated seizures Proteus, and other pathogens in the history of urinary tract infection. 1970 Fair reported that the cracks in the stones, even stone core, possession of pathogenic bacteria, antibiotics not be easy to achieve it and is difficult to eradicate them, and stop antibiotic therapy, these surviving bacteria revived and aroused recurrence. After surgery stones such as residual debris still left, then soon grow into staghorn calculi, stones difficult to take because of the net, urinary tract infection can not be eliminated, so that a higher recurrence rate stones, stones with obstruction due to the end and lead to kidney infection functional impairment, but also secondary to renal hemorrhage, or even to emergency nephrectomy. Such patients was strongly alkaline urine, endoscopic often and erythrocytes, urine cultivating bacteria growth.

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