Daniella, a thirty-two year old history instructor, was in her office preparing

Question

Daniella, a thirty-two year old history instructor, was in her office preparing notes for an upcoming seminar presentation when she was struck with a very sudden and intense pain in her side and lower back. She remained at her desk, breathing deeply, and the pain began to recede. Five minutes later, the pain was not as severe but Daniella is still uncomfortable and decided to call her physician. Daniella described her symptoms to the doctor's receptionist and made an early afternoon appointment. One of Daniella's colleagues drove Daniella to the doctor's office. While on the way to her appointment, Daniella experienced another bout of severe pain and began to feel nauseous. The pain seemed to be spreading into her lower abdomen and groin.Explain what is the problem.

Explanation / Answer

The patient may have urinary calculi or kidney stone disease Urinary calcli or kidney stone disease is the occurance of solid particles in the urinary system and causes pain, nausea, vomiting, hematuria, pain and chills and fever as a secondary infection The stones are developed from the materials that is excreted by the kidney in which normally these excreted material is dissolved in urine but in some individual it develops into kidney stones Calcium phosphate or calcium oxalate is one component of the most common type of kidney stone so a decrease in calcium and oxalate supplements facilitates an decreased predisposition of stone formation Renal colic is the pain associated with the obstruction of ureter or renal pelvis which radiates from the flank to the inner thigh and accompanied by urinary urgency, hematuria and vomiting The stone size is a main factor of treatement of kidney stones in which smaller stones(less than 5mm) passes throughthe urinary tract but larger stones (5 to 10mm), the rate of spontaneous passage decrease to 53% Smaller stones can be removed by drinking plenty of water and larger stones can be removed by the pulverization with shock waves or surgery depending upon the location of stones Kidney stone analysis and urine analysis and blood tests are the best way to determine the kidney stone by the physician

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