I will be discussing a clinical case involving a 45-year-old grocery sales clerk experiencing a urinary disorder addressing issues such as: factors that could have been responsible for developing the stones; his water intake, diet, evaluation of the composition of the calculi; the outcome of test results for his WBC, blood calcium levels, CT scan, and X-ray; and the best treatment plan to prevent recurrence of post-treatment.
Discuss possible factors that may have been responsible for the development of the stone and use this case to show how the patient's diet and water intake can help analyze the composition of the calculi.
Precipitation happens in the urinary passages, however the crystals are typically held in the lower calyx of the kidney. A crystalline deposit develops into a crystalline concretion when under the process of a surface energy resulting in the development of calculi.
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Although, all indications point to an infection if there the WBC count is extremely high and could result in urinary sepsis that would have to be treated with antibiotics (Mayo Clinic, 2017). However, blood calcium levels may be elevated above 300mg/day if the parathyroid is analyzed for hyperactivity ruling it out. Urinary calculi are made up of calcium making them more detectable on a KUB depending on their size if it is less then 2 mm, but if the stone is uric acid it would make it undetectable in the KUB since it is radiolucent (Endocrine Diseases, 2017). It appears that an accurate evaluation determining urinary calculi is by means of a CT scan. It is able to be conducting quickly using the spiral or helical cuts when taking images of the entire urinary tract. It helps identify other possibilities of pain near the kidneys if there are no stones found. As for a standard x-ray of the kidneys, bladder, and ureters it could help to identify stones since they are visible on x-rays (NHS,
A 54 year old female was presented with complaints of lethargy, excessive thirst and diminished appetite. Given the fact that these symptoms are very broad and could be the underlying cause of various diseases, the physician decided to order a urinalysis by cystoscope; a comprehensive diagnostic chemistry panel; and a CBC with differential, to acquire a better understanding on his patient health status. The following abnormal results caught the physician’s attention:
Kidneys play an important role in the unary tract. They are located on each side of the spine, just below the ribcage. Each kidney is connected to the bladder by ureters. The kidneys have many functions, but the most common functions are to clean waste, control chemicals, and regulate fluid in the body which makes up the urine. Urine collects in the kidney before entering the ureters and as time passes more materials are added. When calcium and oxalate or phosphates are combined in the kidney tiny stones are formed called nephrolithiasis, commonly known as kidney stones. These stones can be very painful and “increases risks for diabetes, high blood pressure, and osteoporosis” (Goldfarb, 2009). About ten percent of all people will have kidney stones in their lifetime. Kidney stones are most frequently found in white men over the age of forty, relatives of kidney stone patients, and people who have formerly had kidney stones.
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
The topic that I chose is interventions used to reduce catheter associated urinary tract infections(CAUTI). This type of infection is acquired from the use of urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital acquired infection caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced in the body it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder. It is also used for urinary retention or bladder obstruction. The implementation of evidenced based practice when providing care
A kidney stone or crystal forms when the urine is supersaturated in regard to a stone forming material, meaning the urine contains a higher concentration of stone material than it can dissolve. There are several factors that can contribute to supersaturation, such as urine volume, pH, and the amount of solute excretion (Worcester and Coe 2009). There are numerous types of stones that can form depending on what material in the urine is in excess. The most common types of stones are calcium kidney stones with calcium oxalate (CaOx) causing 80% of all calcium stones and calcium phosphate (CaP) causing 15% of calcium stones (Sakhaee et al. 2012). Calcium oxalate stones are usually found in patients as white deposits on their papillae, or Randall’s plaques. The stone begins as a deposit of calciu...
(5) NIH Publication No. 03–4241. Your Kidneys and How They Work. National Kidney and Urologic Diseases Information Clearinghouse, 2003. http://kidney.niddk.nih.gov/kudiseases/pubs/yourkidneys/
Stones form in the urinary tract when urine contains more stone forming substances than fluid in the urine that would otherwise dilute these substances. With no set ca...
A urinary tract infection (UTI) is an infection of the urinary tract. The urinary tract is the body's drainage system for removing wastes and extra water. Urinary tract infections can have different names, depending on what part of the urinary tract is infected. The infection can include the bladder, kidneys, ureters, or the urethra. If the infection is in the bladder it is called “cystitis” or a bladder infection. If the infection is in the kidneys is it called “pyelonephritis” or a kidney infection? If the infection is in the urethra it is called “urethritis”. Most urinary tract infections are bladder infections. Infections in the ureters are very rare. Everyone is at risk of getting a UTI allowing bacteria to grow in the urine that stays
Calculi. A kidney stone is a solid lump that can be as small as a grain of sand
Hypercalcemia is the abnormal calcium level in blood. Calcium helps maintain bones, contracts muscles, release hormones, and monitor functions of the nerves and brain. For calcium to maintain these functions; it has to stay at a normal level. Anything above the normal can cause other problems. There are three types of hypercalcemia. They are tertiary, familial and humoral. The tertiary is when the disease of the renal is in its end stage causeing the body to be resistance to vitamin D. The familial is due to low calcium and humoral is factors associated with process of tumoal. Hypercalcemia disease affects mostly the elderly. Women are at higher risk than men for this disease. The Myeloma and sarcoidosis are mostly found in blacks.
So, I offered to participate in the coaching on his chronic condition. I ask on his most essential life goals and start addressing any discrepancies between the patient health care behaviors and his goal. I teach him about the P binders intake in relation to food as well as high potassium food and label reading every time he shops. I show him the skill of interpreting glucometer reading in relation to exercises, food, and medications and fluid intake control related to no urine elimination and weight gain between treatments. After one month, his phosphorus came back less than 5.5, potassium keeps between 4.8-5, A1C drops to 6.8, and weight gain between treatment no longer rises more than 2 kilograms.
The purpose of this paper is to take an in depth look at a renal diet which is designed for people suffering from certain kidney conditions. A renal diet can be described as a nutritional regime which is: “low in sodium, phosphorous and protein... [It] also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium” (Nephcure). Throughout the course of this paper various aspects are addressed. these include: the role of the kidneys, the importance of professional guidance, the reasons why people follow a renal diet, monitoring sodium intake, monitoring potassium intake, monitoring phosphorus intake, protein consumption, and fluid control.
Kidney stones mostly occur in men, and can cause the most painful experience to a man in his life. This is called Renal colic, and is often compared to the pain of delivering a baby. Kidney stones cause a blockage in the ureter, which causes several problems to the bladder. It is mostly just pain and it blocking urine from flowing, however bleeding does also occur. Symptoms are severe pain in the groin area, infection, and inflammation.
BPH is a condition in men in which the prostate gland is enlarged in size, causing to interruption of the outflow of urine from the urinary bladder through the urethra. It is unregulated proliferation of glandular epithelium, connective tissue and smooth muscle within the prostatic transition area. As Patel and Parsons (2014) suggests, age and genetics play the significant role in the aetiology of BPH and which are non-modifiable. Similarly, risk factors for BPH are obesity, excess weight, diabetes, the metabolic syndrome and diet, which are modifiable. Although, the clinical manifestations of BPH are urinary symptoms like urinary retention, voiding difficulty problem and urine dribbling at the end are obstructive symptoms. Likewise, nocturia,
...people who eat a lot of protein and people who get kidney stones. Another link between peoples diets and kidney stones is salt. Eating too much salt increases the amount of calcium in our urine which in turn makes the risk of a kidney stone develop increase. Not only is it what we eat but also the amount that we eat. If we eat our portions in moderation and eat the right things, we will have less of a chance of developing kidney stones.