James Johnson comes to the emergency room with severe flank pain, and states that it started...

James Johnson comes to the emergency room with severe flank pain, and states that it started suddenly and that he also had sudden urges to urinate. A urine dipstick test showed hematuria and a pH of 8.2. What disease is he likely to have and how should the disease be treated?

Expert Solution

Diagnosis -Kidney stone..

A small hard deposit that forms in the kidney and is often painful when passed. Kidney removes waste and fluid from your blood to make urine. Sometimes too much of certain waste and not enough fluid in your blood these waste can build up and stick together in your kidneys. These clump of waste called kidney stones.

Large kidney stone shows Symptoms such as

Blood in urine

Pain during urination

Nausea and vomiting

Sudden urge to urinate

Severe pain in back or lower abdomen and it occur suddenly.

Management

In case of Small kidney stones can take pain medicine and plenty of water.plenty of fluid intake helps to push the stone through the urinary tract.

Another treatment option is shock wave lithotripsy .In this shock waves use to break the small piece of stones .after the treatment stones will pass through urinary tract. The procedure take 45minutes -1hour.

Ureteroscopy -This procedure will done under general anesthesia. The doctor use a long tool shaped like a tube to find and remove the stone or to find and break the stone in to small pieces.

In some cases will perform surgery called percutaneous nephrolithotomy is needed to remove the kidney stones.

Nightingale answered 2 years ago

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