Question

Question

1.) A patient has been having pain in the back and groin, renal colic, reduced urine output, and painful voiding. The physician orders a urinalysis. Crystalline substances are observed in the urine on microscopic analysis, as well as some blood cells. Based on the results of an ultrasound examination, the physician recommends lithotripsy. What do you suspect might be wrong with the patient? What further diagnostic techniques do you think might be ordered?

Answer 1

2. Mostly patient may be suffering from renal colic or kidney stones

Small stones may not cause any symptoms. Larger stones can cause renal colic, especially if they block a ureter. This is the tube urine travels through on its way from your kidney to your bladder.

Symptoms of renal colic include:

• intense pain along the side of your body between your ribs and hip, or in your lower abdomen
• pain that spreads to your back or groin
• nausea or vomiting

Renal colic pain often comes in waves. These waves can last from 20 to 60 minutes.

Other symptoms of urinary stones include:

• pain when you urinate
• blood in your urine, which may be pink, red, or brown
• cloudy or foul-smelling urine
• gravel — tiny pieces of stones in your urine
• urgent need to urinate
• urinating more or less than usual
• fever and chills (if you have an infection)

2.

• Blood testing. Blood tests may reveal too much calcium or uric acid in your blood. Blood test results help monitor the health of your kidneys and may lead your doctor to check for other medical conditions.
• Urine testing. The 24-hour urine collection test may show that you're excreting too many stone-forming minerals or too few stone-preventing substances. For this test, your doctor may request that you perform two urine collections over two consecutive days.

• Imaging. Imaging tests may show kidney stones in your urinary tract. High-speed or dual energy computerized tomography (CT) may reveal even tiny stones. Simple abdominal X-rays are used less frequently because this kind of imaging test can miss small kidney stones.

  Ultrasound, a noninvasive test that is quick and easy to perform, is another imaging option to diagnose kidney stones.

• Analysis of passed stones. You may be asked to urinate through a strainer to catch stones that you pass. Lab analysis will reveal the makeup of your kidney stones. Your doctor uses this information to determine what's causing your kidney stones and to form a plan to prevent more kidney stones.