approach and medical management of urinary tract stone in children

نویسندگان

mohsen akhavan sepahi pediatric medicine research center, department of pediatric nephrology, school of medicine, qom university of medical sciences and health services, qom, ir iran.

rozita hoseini department of pediatric nephrology, school of medicine, iran university of medical sciences and health services, tehran, ir iran.

چکیده

kidney stone disease has become more common in children, but it remains non diagnosed in a significant proportion of patients, due to a lack of notable signs and symptoms. all children with colicky abdominal pain or microscopic hematuria should be examined thoroughly for urolithiasis. patients’ histories in terms of family, medical, and drug and a thorough physical examination are required to be considered during diagnostic evaluation. thereafter, diagnostic imaging methods should be aimed to detect the size, shape and location of calculi and also urinary tract anomalies. ultrasound should be used as the initial imaging method to evaluate children with suspected nephrolithiasis. the noncontrast computerized tomography reserved for those in whom ultrasound is unable to diagnose stone. increased water and fluid intake and a reduction of salt consumption are the common recommen dation to those children with a history of kidney stones, though the rate of stone recurrence in children is unknown. since metabolic  disorders are the most frequent causes of stone in children, diagnostic evaluation should also target the detection of metabolic disorders including hypercalciuria, hyperoxaluria, hyperuricosuria and so on that may cause recurrent nephrolithiasis. kidney stone is not a disease itself, but it is only a symptom. therefore, its early diagnosis is mandatory for every child with the first stone event. in this article, we have summarized literature and emphasize that a few studies with acceptable quality are available on children with urolithiasis in iran and the world that warrant future studies on this topic.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Approach and Medical Management of Urinary Tract Stone in Children

Kidney stone disease has become more common in children, but it remains non diagnosed in a significant proportion of patients, due to a lack of notable signs and symptoms. All children with colicky abdominal pain or microscopic hematuria should be examined thoroughly for urolithiasis. Patients’ histories in terms of family, medical, and drug and a thorough physical examination are require...

متن کامل

Laparoscopy in the management of stone disease of urinary tract

As in other fields of urology, the use of minimally invasive techniques has helped decrease the morbidity and convalescence associated with the management of urolithiasis. Laparoscopy has also been used as one of the minimally invasive techniques. This has developed particularly with the increasing experience and use of intracorporeal suturing techniques. However, in comparison with other surge...

متن کامل

Medical management of lower urinary tract symptoms.

Lower urinary tract symptoms (LUTS) are a common complaint among aging men and are often caused by benign prostatic hyperplasia (BPH). A number of medical treatments for LUTS/BPH exist, such as alpha-blockers, 5alpha-reductase inhibitors, anticholinergics, phosphodiesterase type 5 (PDE5) inhibitors, and combination therapies. Agonist binding of the alpha(1A)-adrenergic receptor (AR), causing pr...

متن کامل

Metabolic evaluation and medical management of upper urinary tract stone disease. Guidelines from the Scandinavian Cooperative Group for Urinary Stones.

A set of simple guidelines for metabolic evaluation and medical/dietary management of patients with urolithiasis is presented. The evaluation scheme is based on the documented risk factors in the Nordic area and the results of controlled clinical trials, and takes its basis in the severity of the stone disease in the individual stone patient. The initial evaluation in all patients aims at diagn...

متن کامل

Urinary tract stone disease in Nairobi.

At the Kenyatta National Hospital (KNH) and other private hospitals in Nairobi urinary stone disease is not being correctly diagnosed. Over a 15 year period (1980-1995) only 56 patients have been confirmed to have urinary tract stones out of the expected number of 220 patients. The age range was 10-60 years. The peak age was 30-40 years. Pain and haematuria were the commonest presenting symptom...

متن کامل

norms and ideology in translation of children literature in persian context

اهداف عمده ی این مطالعه دو دسته هستند:1) تعیین هنجار های اجتماعی فرهنگی مورد استفاده در ترجمه ی کتاب کودک برای کودکان ایرانی 2) بررسی مفهوم کودک در ایران و ائدئولوژی این جامعه در رابطه با کودک که مترجم را مجبور به بازسازی کتابهای داستان برای کودکان ایرانی میکند. به این منظور, ابتدا ,مجموعه ای از 30 کتاب داستان و ترجمه های فارسی انها بر اساس مدلlambert and van gorp(2006)مقایسه شد و سپس استراتژیه...

15 صفحه اول

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
caspian journal of pediatrics

جلد ۲، شماره ۱، صفحات ۸۶-۹۵

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023