Case Study: Urinary Stones and Calcium Oxalate
26 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What was the condition that both brothers were suffering from?

  • Urinary tract infection
  • Renal failure
  • Kidney disease
  • Urinary stones due to calcium oxalate (correct)

What was the treatment advised to the brothers?

  • Alkaline therapy and decrease in phosphate intake
  • Increased fluid intake and a low oxalate diet (correct)
  • Potassium citrate therapy and decrease in calcium intake
  • Medication and surgery

What was the difference in the outcome between the two brothers?

  • The younger brother had a family history of urolithiasis
  • The younger brother had a more severe case
  • The younger brother followed the advised treatment and remained symptom-free (correct)
  • The younger brother developed more severe symptoms

What was the result of the 24-hour urine biochemical analysis?

<p>Increased excretion of oxalate and calcium (D)</p> Signup and view all the answers

What was the result of the IVP (Intravenous Pyelogram) test for the elder brother?

<p>A new stone was found in the same kidney (D)</p> Signup and view all the answers

What was the notable finding in the serum biochemical analysis?

<p>Serum calcium, phosphate, and alkaline phosphatase levels were within normal limits (A)</p> Signup and view all the answers

What was the radiological finding in the right kidney of the elder brother?

<p>A radio opaque shadow in the upper calyx (C)</p> Signup and view all the answers

What was the patient's symptom in Case study 2?

<p>Severe left flank pain (D)</p> Signup and view all the answers

What was the diagnosis in Case study 2?

<p>Nephrolithiasis (C)</p> Signup and view all the answers

What is the sensitivity of KUB in detecting ureteric or calcified calculi?

<p>45-50% (B)</p> Signup and view all the answers

What was the treatment for the ureteral stone in Case study 3?

<p>Ureteroscopic laser lithotripsy with stent placement (D)</p> Signup and view all the answers

What was the abnormality found in the dog's urine sample?

<p>Magnesium ammonium phosphate and calcium phosphate crystals (B)</p> Signup and view all the answers

What was the initial clinical presentation of the dog?

<p>Dysuria and hematuria (C)</p> Signup and view all the answers

What was the specific gravity of the urine in Case Study 5?

<p>1.010 (B)</p> Signup and view all the answers

What is the diagnostic role of ultrasound in nephrolithiasis?

<p>To monitor the size and location of a stone (B)</p> Signup and view all the answers

What was the pH of the urine in Case Study 2?

<p>7.5 (C)</p> Signup and view all the answers

What is the limitation of abdominal X-ray (KUB) in nephrolithiasis?

<p>All of the above (D)</p> Signup and view all the answers

What was the diagnosis made for Patient XY?

<p>Struvite urolithiasis with secondary infection and partial urethral obstruction (C)</p> Signup and view all the answers

What was the effect of fenofibrate on stone formation in Case study 3?

<p>It reduced stone formation, passage, or growth (D)</p> Signup and view all the answers

What was the treatment approach for Patient AH?

<p>Alkali therapy to achieve a urine pH of &gt;6.0 (C)</p> Signup and view all the answers

What was the outcome of the treatment approach for Patient AH?

<p>Complete resolution of loin and renal discomfort (A)</p> Signup and view all the answers

What was the finding on abdominal ultrasonography for Case Study 5?

<p>Mild prostatomegaly with a large amount of prostatic urethral pooling (A)</p> Signup and view all the answers

What was the medication used to treat Patient AH?

<p>Allopurinol (A)</p> Signup and view all the answers

What was the UA/Cr ratio of Patient AH?

<p>1.3 mmol/mmol (C)</p> Signup and view all the answers

What was the outcome of the 24-hour urine analysis for Patient AH?

<p>pH of 5.5 and UA/Cr ratio of 1.3 mmol/mmol (C)</p> Signup and view all the answers

What was the result of the USS at six months for Patient AH?

<p>No new stone formation or increase in the size of the two non-obstructive renal stones (A)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser