Urinary Disorder Case Study

UrinaryDisorder Case Study

UrinaryDisorder Case Study

The40-year-old has kidney stones. These are small and hard deposits thatusually develop inside one’s kidneys. Pearleet al. (2014) state the effects of the condition can affect any partof the urinary tract. They form when there is more concentration ofurine which allows minerals to crystallize and stick. Though they donot cause any permanent damage, they can be quite painful.

Diagnosis

Atthe hospital the patient is imaged to evaluate whether the stones arepresent. Diagnostic tests include X-ray which aids in detectingcalcium, the major component of the stones (Pearleet al., 2014).Ultrasound helps in identifying the swelling of the patient’skidneys which occurs when the urine flow is blocked by the residues.A CT scan is used to confirm the presence of the kidney stones. Bloodtests may also be done to check whether the patient has additionalinfections emanating from the primary complication. It is also usedto check whether there are high salt levels that might be causingcalcium build up. Urinalysis is another diagnostic test which aids inanalyzing the presence of bacteria, proteins or the red blood cellsin urine.

Treatment

Anti-emeticmay be given to the person to reduce the effects of nausea andvomiting. Painkillers are also prescribed to the clients experiencingminimal pain. However, if the stones are large, an open surgery maybe recommended to remove them (Pearleet al., 2014).Extracorporeal shock wave-lithotripsy treatment procedure is alsoproposed if the stones cannot pass through the urine. If they arestuck in the ureter, then retrograde intra-renal surgery would help.If the person is obese, then another treatment procedure known aspercutaneous nephrolithotomy (PCNL) is administered.

References

Pearle,M. S., Goldfarb, D. S., Assimos, D. G., Curhan, G., Denu-Ciocca, C.J., Matlaga, B. R., &amp White, J. R. (2014). Medical management ofkidney stones: AUA guideline. TheJournal of urology,192(2),316-324.