1. Renal stone Summation and Case Presentation
Shiva Seyrafian ,7,27
IKRC, IUMS ,10,17

2. case
A 39 y/o man with history of recurrent stone passage comes to clinic and in his U.S. there are 2 stones in both kidneys w/o hydronephrosis.
Serum creatinine= 1 mg/dl , U/A: RBC= 20-30, WBC=
What is your next steps?
What is your lab tests?
Summation and Case Presentation
Renal stone

3. case
In his lab exam there is hypercalciuria (320 mg/day) and others are normal.
What other tests do you recommend?
What is your recommendation for diet?
Summation and Case Presentation
Renal stone

4. case
A 27 y/o man with BMI 30 complains from dark and sometimes orange urine. There is a small stone (4 mm) in US. Lab exam: Creat= 1.1 mg/dl, BUN= 13 mg/dl, serum uric acid =8 mg/dl , U/A: RBC= 20-30, WBC=8-10, and uric acid crystal ++.
What is your diagnosis?
What is the next step?
What is your recommendation?
Summation and Case Presentation
Renal stone

5. case
For a 20 y/o man accidentally diagnosed a 6 mm stone in US. There is positive family h/x of renal stone in his brother and uncle.
In lab exam you find hyperoxaluria and other lab tests are normal.
What is your recommendation about diet?
What is your recommendation for stone?
Summation and Case Presentation
Renal stone

6. case
A 32 y/o man referred to you for left renal colic radiated to scrotum and penis and dysuria and hematuria. In US there is mild hydroureteronephrosis in left side and RT. Kidney is small. Serum Cr= 2 mg/dl. U/A: RBC= plenty WBC=few.
What is your next step for diagnosis?
What is your suggestion for relieving pain?
What is your suggestion for treatment of hydroureteronephrosis?
Summation and Case Presentation
Renal stone

7. case
A 43 y/o woman is referred to you with a 22 mm stone in Rt. upper calyx in US and mild flank pain. She has a hx of chills and fever and her T=38°c. BUN and Cr NL. U/A: WBC=20-30, RBC=10-20, bacteria=plenty, U/C = Klebciella,10⁵ cc. What do you do?
Antibiotic therapy
PNL
SWL
Open surgery
Follow up
Summation and Case Presentation
Renal stone

8. case
A 62 y/o man is admitted in emergency room due to epistaxis and hx of taking warfarin. INR=3.8. he has hematuria and in US a 10 mm stone in middle calyxs of L. kidney was diagnosed. BUN& Cr=NL.
What do you do for his stone?
PNL after normalization of coagulopathy.
SWL while taking warfarin
ESWL after normalization of coagulopathy
Drug therapy
Follow up
Summation and Case Presentation
Renal stone