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Doctor insights on: Focused Assessment For Urolithiasis

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What is the detailed procedure for a 14 year old girl's physical exam? My daughter has one coming up. Please focus on the exams for her private areas

What is the detailed procedure for a 14 year old girl's physical exam? My daughter has one coming up. Please focus on the exams for her private areas

Pediatric or GYN?: An adolescent exam usually defers the genitalia for examination, unless the history dictates otherwise. Same for breast exam. If there are gynecological concerns, then a gyn is consulted. Safety, pregnancy, substance use, std, academic and career plans, social adjustment, immunizations, and general health concerns make up the bulk of the visit. ...Read more

Physical Exam (Definition)

Physical exam is the actual examination of the patient's body by the physician. For example, if you sprain your ankle and go to your doctor, he will physically touch your ankle to see where it is painful. This act of touching the patient's body ...Read more


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What are the tests for urolithiasis?

What are the tests for urolithiasis?

Urinary & radiologic: Urinalysis to detect presence of blood or cystine, microscopy can detect crystals. Timed urinary excretion, commonly 24 hrs, for calcium, uric acid, citrate or oxalates. Kidney & bladder ultrasound, plain abdominal x-ray (kub) and most reliable of all is abdominal ct scan. ...Read more

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What are the symptoms of urolithiasis?

Variable: May be asymptomatic, but can cause the worst colicky pain conceivable, often with nausea, vomiting and inability to achieve a comfortable position. Can cause blood in urine and urinary symptoms when stone approaches bladder. ...Read more

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What is meant by bilateral urolithiasis?

What is meant by  bilateral urolithiasis?

Stones, both sides.: Urolithiasis are stones in the urinary tract, such as a kidney stone, ureteral stone, or bladder stone. Bilateral means both sides. Since the body has two kidneys, one of the left and one on the right, the phrase "bilateral urolithiasis" could simply mean that there is a kidney stone on the left and right sides of the body. ...Read more

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What is varicocele urolithiasis?

What is varicocele urolithiasis?

Here is...: I assumed you probably meant varicocele phlebolith, not urolithiasis. Urolithiasis denotes stones forming inside urinary tract - kidneys, ureters, ; bladder. Phlebolith indicates stone formed inside vein, usually at its valves as the phlebolith commonly seen in pelvic veins in imaging study, which carries no practical weight in clinical care. So, i assumed stones similarly forms inside varicocele. ...Read more

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What is the treatment for urolithiasis?

What is the treatment for urolithiasis?

Removal & prevention: Pain management if necessary. Elimination of stones, by natural means if small enough to pass on their own + copious fluid intake or by IV & ? Flomax (tamsulosin) to help ureter dilate & facilitate passage. May require ureteral stenting in presence of significant obstruction.Cystoscopic or ureteroscopic laser lithotripsy or basket extraction. Shockwave lithotripsy. Percutaneous nephrolithotomy. Then prevention. ...Read more

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I have urolithiasis..What are the food and drugs that I should avoid?

Depends on kind: The stone kind makes a difference. However, as a rule of thumb you need more fluid intake especially lemonade/ limeade. Avoid calcium supplements and heavy dairy products and heavy animal protein. ...Read more

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My xray highlights a discrete left renal pelvicalyceal ectasia not associated with urolithiasis?

My xray highlights a discrete  left renal pelvicalyceal ectasia not associated with urolithiasis?

Likely insignificant: Depends on degree of pelvi-calyceal ectasia. No problem if mild or moderate, but might require further investigation if this is in fact moderate or severe hydronephrosis (swelling containing urine). Some radiologists use these terms interchangeably. ...Read more

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I'm having gallbladder removed and going for a pre-operation assessment tomorrow. What happens at these assessments? Anything I should or shouldn't do

I'm having gallbladder removed and going for a pre-operation assessment tomorrow. What happens at these assessments? Anything I should or shouldn't do

Preop exam: A preop restive examination is done to assess the risk of surgery. The usual examination involves general physical examination, ECG, blood work, chest X-ray and urinalysis. If the ECG shows any abnormalities a full caricature evaluation may be requested. If blood work, urine test or chest X-ray show any abnormalities, these may need to be corrected prior to surgery. There is no preparation. ...Read more

Dr. Michael Steigner
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Bladder Stones (Definition)

Urolithiasis is the term for kidney stones that can be found in the urinary tract, which may cause no symptoms or may result pain in the groin and abdomen, nausea, bloody urine, ...Read more