Download presentation
Presentation is loading. Please wait.
Published byDominic Kennedy Modified over 9 years ago
1
Genitourinary Kidney stone vs AAA Lisa Chance, RN, BSN, CCRN
2
Kidney Stones (calculi) or AAA? Symptoms of a kidney stone verses abdominal aortic aneurysm (AAA) can be very much alike. www.webster.comwww.webster.com You can hear a word pronounced! Calyces is pronounced “Kay-la-sees.”
3
One condition is painful annoying Other can be fatal if not treated promptly. Vital for nurses to know the difference! Could be a matter of life & death.
4
Hematuria Severe colicky flank pain Nausea/vomiting Severe colicky back pain Lightheadedness Hypertension Hematuria Severe flank pain Abdominal pulsating mass Severe abdominal pain Severe back pain Hypertension Syncope Shock (late sign) Kidney stonesAAA
5
What to do. Address pain relief Hydration Draw blood (R/O renal function, infection, or blood loss) CBC /c differential (checking the white cell count) Hemoglobin & Hematocrit (H&H) Platelets
6
… And? Chem 7 (Panel 7) - comprehensive metabolic panel to test: Electrolytes BUN Creatinine Obtain urine for a urinalysis that will test for: Nitrates Leukocytes blood in the urine
7
Also, keep in mind that the urinalysis alone doesn’t tell the whole story. Do not conclude that the patient has a kidney stone just because he has hematuria. In one study, more than 87% of patients with an AAA also had hematuria.
8
Today’s gold standard is non-contrast computed tomography (CT) scan. Differentiation
9
If facility does not have access to CT, X-ray of kidneys, ureters, & bladder is considered accurate also. Differentiation …continued
10
X-rays, can not be performed on pregnant women probably ultrasound Ultrasound may also be preformed if the patient is too unstable for transport.
11
Or trained cardiologist or surgeon can perform a TEE (transesophageal echo) to verify AAA at the bedside. Differentiation …continued
12
Complications After tx: Not getting relief with prescribed pain medication Or experiencing: Fever Chills nausea or vomiting The above are signs of pyelonephritis (kidney infection), usually from a blocked ureter.
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.