PATHWAYS

NEFROLITHIASIS
Predisposition Etiology Precipitation

• Gender Increased stone-forming substances in Geography,

• Age the urine (calcium oxalate, calcium Climate and
• History of phosphate, uric acid) temperature,
disease (eg Inadequate
Gout) Renal stone water intake,
• Genetic crystallization & Diet, Occupation
inhibitor deficiency
precipitation of
(eg citrate)
urinary substances
Obstruction in obstruction
the renal dx. acute pain in the
goblet Obstruction bladder

hydronephrosis Tg: improved Tg: urine Stones in

tech. Blood, output <5 the neck
obstruction in
flounder, cc / hour, of the
Accumulation the ureter
grimace, cold changes in bladder
of pressurized
sweat urinary
fluid in the Hydroureter pattern,
kidneys blockage
dysuria
Dilation
of the
dx. impaired Urine
ureter
urine retention
Dilatation of the Fluid reflux elimination
renal pelvis and into the renal
Acute
calycis tubules
pain Abrasive Abdominal
reaction distension
Irritation and Colic
abrasion of Partial nephron
spreads to Increased
tissue by damage Activation
thighs & number
stones of the
genitaia of
Decreased vomiting
GFR bacteria center in
Feeling like MO
Pain in Pain in urinating infection
the the Nephron &
capillary gag
costove renal Decreased
collapse dx. high risk
bral area urine output
of deficient
area Tg:
fluid volume
Spread Nephron Urine contains blood vomiting,
anterior ischemia feeling
ly full of
Ureteral colic gas in
Kid
ney the
fail shock abdomen
woman Man dx. anxiety
ure
SYNCOP
Approachi Approachi GROUP 1
ng the ng the Fuzna dahlia mudzakiroh (i1j020010)
bladder testicles Tg: increased BP,
FINA CHALIMATUS SA’ADAH (I1J020002)
restlessness, cold MILLATI HANIFAH (I1J020003)
sweats NUR ALJANANTI (I1J020004)
ALIF SACHRUL MINSAID (I1J020006)
NURUL IZZAH ISLAMY (I1B020028)
Acute sudden pain

Renal colic episodes