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Question 22 KIDNEY
- a syndrome observed in a number of kidney diseases, the main manifestation of which is acute pain in the lumbar region.
Etiology and pathogenesis. The most common causes of renal colic are kidney stone disease, hydronephrosis, nephroptosis, in which the urodynamics in the upper urinary tract are disturbed. Renal colic can cause obstruction of the ureter with a blood clot, caseous masses in case of kidney tuberculosis, a tumor, as well as polycystic and other diseases of the kidneys and ureters. The leading role in the development of the symptom complex belongs to a spasm of the urinary tract with their ischemia, stretching of the fibrous capsule of the kidney and renal and renal reflux.
Symptoms, treatment. The attack most often develops unexpectedly in the form of severe pain in the lumbar region, but sometimes it is preceded by increasing discomfort in the kidney area. Walking, running, riding a motorcycle, lifting weights often provoke an attack, but it can also occur at rest. The intensity of pain increases rapidly, the patient rushes about, finding no place for pain, groans loudly, holding his hands on the sore side. The pain is localized in the lumbar region, but then moves down along the ureter, radiating to the inguinal region and genitals. When examining urine, as a rule, erythrocytes and a small amount of protein are found, sometimes calculi, snaps, blood clots. Often with stones of the ureter, renal colic is accompanied by pain in the abdomen, paresis of the intestine like a picture of an acute abdomen. In such cases, differential diagnosis with appendicitis, cholecystitis, intestinal obstruction and pancreatitis is not easy, especially since the attack is often accompanied by nausea and vomiting, and the presence of red blood cells in the urine does not exclude the presence of appendicitis. If a small stone is located in the lower part of the ureter or renal colic is associated with the passage of sand, then there are frequent, painful urges to urinate.
The attack may be accompanied by chills, fever, tachycardia, leukocytosis, fever
ESR It can end quickly or last many hours.
The diagnosis of renal colic is made on the basis of the characteristic localization and irradiation of pain, aggravated by palpation and thumping in the kidney, on the basis of changes in urine, data of chromocystoscopy and intravenous urography. With renal stone disease and hydronephrosis, an attack can occur both day and night (patients sleep on either side), with nephroptosis, pain often occurs during the day (patients prefer to sleep on the affected side
Intravenous urography is the most valuable method for diagnosing renal colic and its differential diagnosis with acute surgical diseases of the abdominal organs. It makes it possible to detect stone and changes in the urinary tract with nephrolithiasis, with expansion of the pelvis and calyces with hydronephrosis, and with nephroptosis, the pathological displacement of the kidney and bending of the ureter.
Treatment begins with the use of heat (heating pad, bath temperature 37-39 ° C), antispasmodics and painkillers. An attack can be stopped by intramuscular administration of 5 ml of baralgin solution in combination with taking baralgin inside of 0.5 g 3 times a day or subcutaneous injections of 1 ml of a 0.1% atropine solution in combination with 1 ml of a 2% solution of promedol or 1 ml of a 2% solution pantopone (or 1 ml of 1% morphine solution). With a protracted attack, novocaine blockade of the spermatic cord (uterine round ligament) from the lesion is advisable. Renal colic, accompanied by fever, is an indication for hospitalization in the urology department, where ureter catheterization can be performed for therapeutic purposes. The prognosis for timely and adequate treatment is favorable.
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Question 22 KIDNEY
- Renal colic
Renal colic - an attack of sharp pain that occurs with acute obstruction of the upper urinary tract. ETIOLOGY AND PATHOGENESIS Etiology ¦ The most common cause of renal colic is urolithiasis, which occurs when a stone obstructs the lumen of the ureter. ¦ Other causes of renal colic:? Acute and chronic pyelonephritis (products of inflammation: mucus, fibrin, epithelium, white blood cells). ? Tumor
- Renal colic
Among the diseases of organs located outside the abdominal cavity, however, occurring with acute abdominal pain, often simulating an acute abdomen, the first place in frequency is renal colic. An attack of renal colic is caused by a sudden obstacle to the outflow of urine. In most cases, renal colic - one of the manifestations of urolithiasis, occurs due to the mobility of stones,
- KIDNEY AND URINE
Colic (colica, Greek kolikos - suffering from pain in the intestines) is an attack of sharp cramping pain, more often with diseases of the abdominal organs. Renal colic (c. Renalis) is caused by stretching of the renal pelvis with urine due to a violation of its outflow. Ureteric colic (with. Ureterica) - colic with localization of pain in the lumbar region and along the ureter, due to sudden obstruction
- Renal colic
The clinical picture Renal colic is accompanied by paroxysmal pains in the navel, lower abdomen and in the lumbar region, and leukocyturia is detected simultaneously with macro-microhematuria. Emergency care Emergency care: rest, warm baths (water temperature - 38-39 ° С, duration - 10-20 min), heavy drinking, anticholinergic drugs (atropine in single doses, 0.1% solution,
- Renal colic.
It develops as a result of impaired passage of urine from the kidney caused by stones, blood clots, etc. Suddenly occurring, very severe, cramping pain in the lumbar region, lateral abdomen with irradiation in the groin, thigh, and genitals. The pain is often accompanied by frequent urges and painful urination. Often accompanied by vomiting, especially at the height of a pain attack. At
- Kidney stone. Renal colic
Kidney stones can form due to congenital and acquired pathological changes in the kidneys, urinary tract and other organs (enzymes, anatomical malformations of the urinary tract, hereditary factors, urinary tract infection, calcium metabolism disorders and others). Factors contributing to the formation of stones: exogenous - climatic and geochemical conditions, nutritional features;
Colic is an attack of acute abdominal pain. This pain can be local, and can spread to the entire abdominal cavity. (Not to be confused with COLIT - inflammation of the colon). Colic is usually accompanied by a urge to defecate. With severe colic, the pain becomes unbearable and is accompanied by diarrhea. See also the articles DIPS and GUT
- Renal glucosuria (renal diabetes)
RENAL GLUCOSURIA (RENAL DIABETES) - a hereditary disease caused by a decrease in glucose reabsorption in the proximal tubule of the kidney, manifested by glucosuria without hyperglycemia. Its frequency is 2-3: 10,000. PATHOGENESIS. Two forms of the disease are distinguished: familial idiopathic (primary) and symptomatic (secondary). Primary renal glucosuria is inherited by
- ANATOMY OF HORSES AND COLIC
Before dwelling on the colic itself in detail, you need to familiarize yourself with the anatomy of horses in order to understand the causes of colic in
- False colic
Not all horses with signs of abdominal pain will suffer from diseases of the gastrointestinal tract. Other painful conditions can cause similar symptoms. False colic is a group of painful diseases that can be accompanied by the appearance of symptoms very similar to true colic. False colic include diseases of the reproductive organs, liver, kidneys, bladder, muscles, and
- Slimy colic
Mucous colic (colica mucosa; colic intestinal mucosa, colic pseudomembranous mucosa, membranous colitis, pseudomembranous colitis, mucous membranous colitis, mucous colitis, irritable bowel syndrome) - a syndrome of unclear origin, characterized by impaired motor and secretory functions of the colon, manifested by pain attacks in the stomach with the release of large
- Causes of Colic
There are many causes of colic, and in most cases the exact cause remains unknown. Important reasons are: • Motor impairment (intestinal dysfunction) • Tympanum. • Simple obstruction. • Strangulation obstruction. • Non-strangulated heart attack. • Ulcerative lesions. • Enteritis. • Peritonitis. MOTOR DISORDERS Intestinal dysfunction is probably the most common cause.
- DIAGNOSTIC COLIC
Colic can range from mild to very severe, and it is NOT always possible to distinguish mild colic from potentially fatal. Therefore, it is imperative that owners quickly recognize signs of colic and quickly seek veterinary care in the early stages of the disease. COLIC RECOGNITION Clinical signs of colic are behavioral changes observed in a horse in response to
- Colic in foals
Diagnosis and treatment of colic in foals require several different methods than in adult horses. They are more dependent on the assessment of the history of the animal and a complete physical examination. In some cases, additional diagnostic methods (for example, ultrasound and radiographic examinations) will be useful. ANAMNESIS Normal performance of newborn foals: TIME OF APPEARANCE IN
- Gall (hepatic) colic
Attacks of biliary colic usually occur in patients with cholelithiasis when a stone enters the cystic or common bile duct. ('' symptoms) Severe paroxysmal pain in the right upper quadrant, radiating to the right half of the chest, shoulder, accompanied by nausea, vomiting, which does not bring relief. Symptoms of gallbladder irritation are positive (Kfra, Murphy, Vasilenko, Lepene,
- Mother's nutrition for colic in a child
Colic in newborns is a very common phenomenon. They are observed in almost 20% of all infants. The kid becomes restless, screams loudly, bangs his legs, then pressing them to his stomach, then straightening with force. The baby's face can suddenly blush, it can tightly compress the fists. At the same time, his tummy is swollen, and you can hear how the intestines “rumbles”. Finally, colic disappears after six months. Highly
- Colic (when something hurts in a child)
It seems that something hurts in our baby, especially after breastfeeding. Is there anything wrong with my milk? Does he have colic? There is nothing strange with your milk, but perhaps the child does not like either the way the milk flows or what you eat. To begin with, remember that colic is a six-letter word that means "the doctor does not know why my child is worried." Instead of