Abstract

Urolithiasis or nephrolithiasis is a common ailment in the emergency room. The clinical presentation of a kidney stone includes fever, nausea, vomiting, acute flank pain radiating to the groin or the back. The pain is often described as stabbing and there is tachycardia, with or without hematuria for the severe patient. For the triad for urinary or kidney stones, some people say they are fever, vomiting, and acute flank pain. So in acute setting analgesia is given with or without an antiemetic to prevent vomiting IV fluids administered carefully. Noncontrast computed tomography (CT) is the gold standard for diagnosis. Most of urinary stones get washouts spontaneously if it is less than 5 mm without any intervention. However, if intervention is required either it is done by elective or as soon as possible by the intervention. I mean surgical management and surgical management will depend on how big the kidney stone is in there as well as where the kidney stone is if it is within the ureter or within the actual kidney.

Highlights

  • I mean surgical management and surgical management will depend on how big the kidney stone is in there as well as where the kidney stone is if it is within the ureter or within the actual kidney

  • The ureter has three sites of constriction where it contracts smooth muscle and these are important to know because these are the sites where narrowing can occur and the site where urinary stones can lodge the sites of ureter constriction including the pelvic ureteric junction [3], the pelvic brim and the vesicoureteric junction [4]

  • The renal pelvis has a renal artery and renal vein entering and exiting it residing in the region of and within the medulla pyramids are the functional units of the kidneys called nephrons

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Summary

Introduction

Kidney stone or Urinary tract stones have many names including nephrolithiasis/urolithiasis [1] which is actually formation of stones along the nephrolithiasis or urinary tract which is stones forming specifically in the nephron or the kidneys to make things even more confusing; kidney stones or urinary can also be DOI: 10.4236/ym.2019.34029 Sep. 17, 2019

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