Diacoma, Khryzzia Mae

BSN-III

Patient’s Profile:
Name: A.L.
Age: 67 y.o.
Sex: Female
Status: Widowed
Address: #6 Milestone Dr. ACS, San Miguel, Iligan City
Name of hospital: Vicente Sotto Memorial Medical Center
Date of Admission: 9/14/2019
Ward & Bed No.: 3A-B8
Case No.: 2015309619
Chief Complaint: Left Flank Pain
Medical Diagnosis: Staghorn Calculi

History of Present Illness:

1 year PTA, pt. Had left flank pain; consulted and UTZ was done which
showed Staghorn Calculi @ left kidney was advised admission but pt.
refused due to financial constraints; pt. was given medication to make the
stones small/dissolved. UTZ was repeated stones still present. Condition was
tolerated. 2 weeks PTA, pt. sought consult at the OPD, laboratories were
taken, pt. came and were admitted.

History of past illness:

(+) hypertension
No hx of hospitalization, admission or operation
ANATOMY AND PATHOPHYSIOLOGY

 Kidney stones (also known as renal lithiasis or nephrolithiasis) are small,

hard deposits of mineral and acid salts that form inside your
kidneys. These mineral and acid salts are normally found in the urine
and do not cause problems at lower levels. Kidney stones have many
causes and can affect any part of your urinary tract — from your kidneys
to your bladder. Often, stones form when the urine becomes
concentrated, allowing minerals to crystallize and stick together. Stones
may be small or large, solitary or multiple.

 Urinary tract - is the body’s drainage system for removing waste

products and extra water. The urinary tract includes the kidneys, ureters,
urinary bladder, and urethra.

 Kidneys - are fist-sized, bean shaped organs located near the middle of
the back, just below the rib cage. The right kidney lies under the liver
and is located slightly lower than the left kidney. The kidneys are
protected by the muscles of the back, fat and fascia.

 Ureter - tube where urine flows from the kidney; lined muscular tubes
that use peristalsis to propel and drain urine into the bladder.
 urinary bladder - where urine is stored until released from the body
through another tube, the urethra.

 Kidney - help regulate water balance and remove harmful substances

from the blood. Blood is filtered by the kidneys which produce urine. The
two kidneys process about 200 quarts of blood to produce about 1 to 2
quarts of urine. Urine is a fluid that contains toxic substances and waste
products. The kidneys dispose of waste and extracellular fluid (urine) by
gravity flow through the ureters.

PATHOPHYSIOLOGY