Kidney Stones: Difference between revisions

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== Characteristics/Clinical Presentation  ==
== Characteristics/Clinical Presentation  ==


Kidney Stones can be one of the most painful of the urologic disorders and kidney stone have been increasing in the population over the past 30 years. "In the 1970s, less than 4 percent of the populations had stone-forming disease. By the early 1990s, the portion of the population with this disease has increased more than 5 percent."&nbsp;<ref name="National" />&nbsp;Doctors are uncertain why these stones form is particular people but not others. Some common theories are that certain foods may cause stones to form, family history of kidney stones, infection, other kidney disorders and some metabolic disorders.&nbsp;<ref name="National" />,<ref name="mayoclinic" />.
Kidney Stones can be one of the most painful of the urologic disorders and kidney stone have been increasing in the population over the past 30 years. "In the 1970s, less than 4 percent of the populations had stone-forming disease. By the early 1990s, the portion of the population with this disease has increased more than 5 percent."&nbsp;<ref name="National" />&nbsp;Doctors are uncertain why these stones form is particular people but not others. Kidney stones usually do not have one defined cause, some common theories are that certain foods may cause stones to form, family history of kidney stones, infection, other kidney disorders and some metabolic disorders.&nbsp;<ref name="National" />,<ref name="mayoclinic" />.  


<br>


<u>Common Signs and Symptoms:</u>


<u>Common Signs and Symptoms:</u>
*"Severe pain in the side or back that will not go away"<ref name="mayo" /><u></u>
*Pain that spreads to the lower abdomen/groin
*Pain with urination
*Pink, red, brown or cloudy urine
*Nausea and vomiting
*Persisten urge to urinate
*Fever and chills
*Urine that smells bad<br>
 
Stones usually will begin causing these common signs and symptoms once the stone is blocking the outflow of the urine from the kidney into the bladder.&nbsp;


<u></u>
<u></u>

Revision as of 22:58, 6 March 2010

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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Definition/Description[edit | edit source]

Nephrolithiasis also known as kidney stones "are hard masses developed from crystals that separate from the urine within the urinary tract. Normally, urine contains chemical that prevent or inhibit the crystals from forming. These inhibitors do not seem to work for everyone, and stone can start to form. If crystals remain tiny enough, they will travel through the urinary tract and pass out of the body in the urine without being noticed. If the stones are unable to pass with the urine, further medical attension is needed." [1]

Prevalence[edit | edit source]

  • 17% of all the population will have kidney stones in his or her life.[2]
  • If affects both males and females. 12% of males and 5% of females are likely to experience kidney stones within their lifetime. [2]
  • Average onset of kidney stones is over the age or 30 years old.[1]
  • People who have had kidney stones previously are at an increased risk to have a second episode of kidney stones.[1]

 

Characteristics/Clinical Presentation[edit | edit source]

Kidney Stones can be one of the most painful of the urologic disorders and kidney stone have been increasing in the population over the past 30 years. "In the 1970s, less than 4 percent of the populations had stone-forming disease. By the early 1990s, the portion of the population with this disease has increased more than 5 percent." [1] Doctors are uncertain why these stones form is particular people but not others. Kidney stones usually do not have one defined cause, some common theories are that certain foods may cause stones to form, family history of kidney stones, infection, other kidney disorders and some metabolic disorders. [1],[3].


Common Signs and Symptoms:

  • "Severe pain in the side or back that will not go away"[4]
  • Pain that spreads to the lower abdomen/groin
  • Pain with urination
  • Pink, red, brown or cloudy urine
  • Nausea and vomiting
  • Persisten urge to urinate
  • Fever and chills
  • Urine that smells bad

Stones usually will begin causing these common signs and symptoms once the stone is blocking the outflow of the urine from the kidney into the bladder. 

Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports[edit | edit source]

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Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. 1.0 1.1 1.2 1.3 1.4 National Kidney and Urologic Disease Information Clearinghouse. Adult Kidney Stones. Available at http://kidney.niddk.nih.gov/Kudiseases/pubs/stonesadults/. Accessed on February 17, 2010.
  2. 2.0 2.1 MayoClinic Website. Kidney Stones. Available at http://www.mayoclinic.com/health/kidney-stones/DS00282. Accesses on February 17, 2010.
  3. Cite error: Invalid <ref> tag; no text was provided for refs named mayoclinic
  4. Cite error: Invalid <ref> tag; no text was provided for refs named mayo