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CASE STUDY

in
ND205

What is Kidney Stone?

A kidney stone is a hard, crystalline mineral


material formed within the kidney or urinary
tract.

Kidney stones form when there is a


decrease in urine volume and/or an excess
of stone-forming substances in the urine.

Dehydrationis a major risk factor for kidney


stone formation.

Diet and hereditary factors are also related to


stone formation.

Diagnosis of kidney stones is best accomplished


using an ultrasound, IVP, or a CT scan.

Most kidney stones will pass through the ureter to


the bladder.

For small stones, most people don't need any


treatment other than taking pain medicine and
drinking enough fluids.

What are the symptoms of kidney stone?

Severe pain in the groin and/or side


Hematuria
Vomiting and nausea
White blood cells or pusin the urine
Reduced amount of excreted urine excreted
Fever and chills if there is an infection

Personal Data
The following is a case study of Mr. Crisencio G.
Salta a male patient that is suffering from a kidney
stone problem.
Name: Crisencio G. Salta
Age: 60 years old
Address: #2511 Sitio Matarik Camarin Caloocan City
Civil Status:Married
Birthday: December 13, 1954
Gender: Male
Religion: Catholic
Occupation:Engineer

Anthropometry

Wt: 82 kg

Ht: 59 inches

BMI: 26.78 (overweight)

Stature: 69 cm

DBW: 75.26 kg

% DBW: 109%

Biochemical Findings
1. What is Mr. Salta Complaint/ Problem:

-Kidney Stone Problem


2. What is the history of present problems?
- drinking too little water
- eating food with too much salt or sugar
3. What Medicines did he take?
-For 1 month Mr. Salta take this medicine orally:

Rowatinex- 3x a day
Rowachol- 2x a day
Acalka- 2x a day
Rowatinex

is a capsule for renal and urinary disorders including urolithiasis.


Rowachol for hepato-biliary disorders including cholelithiasis.
Acalka is a Treatment of patients with renal lithiasis and hypocitraturia,
chronicformers of calcium oxalate, phosphate calculia.

Clinical Diagnosis:
ULTRASOUND REPORT:
IMPRESSION:
NON-OBSTRUCTING CALYCEAL LITHIASIS,
RIGHT
NORMAL SONOGRAPHIC STUDY OF THE LEFT
KIDNEY AND URINARY BLADDER
SLIGHTLY ENLARGED PROSTATE GLAND
WITH CONCRETIONS

Diet Analysis:
Avoid Salty foods
Aim for at least 2 -3 L of water (10-12
cups) each day.
Avoid Softdrinks
Eat plenty of foods and vegetables
Limit fast foods and convenience foods
Limit caffeine to 300 mg per day

DIETARY EVALUATION
1. Quantitative method
-This is a 24-hour recall method under
quantitative method, which is to recall
amounts of food in the previous 24 hours:

1st Day
Time

Breakfast

Lunch

Dinner

Place

Home

Home

Home

Food &
Beverage
Intake

Amount

Hotdog
Longganisa
Rice
Coffee

1
1
1
1

pc
pc
cup
cup

Fried Fish
Sauted
Veggies
Boiled Rice
Banana,
Lakatan
Water

1
1
1
1
2

pc
cup
cup
pc
cups

Fried Chicken
Boiled Rice
Sauted
Veggies
Water

1
1
1
1

pc
cup
cup
cup

2nd Day
Time

Place

Breakfast

Home

AM Snack

Office

Lunch

Office

Dinner

Home

Food &
Beverage
Intake
Chicken
Fried Rice
Banana
Coffee
Hamburger

Amount

1 pc
1 cup
1 pc
1 cup
1pc.

water

1 cup

Chopsuey
Fried Fish
Boiled Rice
Iced Tea
Chicken Adobo
Boiled Rice
Water

1 cup
2 pcs
1 cup
1 cup
1 cup
cup
1 cup

2. Qualitative Method

Crisencio G. Salta is monitoring the amount


of
food he consumes every day. He needs to
omit
salty and fatty foods, as well as sweet foods.
He now consumes more fish and vegetables
than meat.

Evaluation

Mr. Salta is currently taking his medications.


He
is now better than before.

Plan

A dietician can help Mr. Salta plan meals that


lower the risk of forming kidney stones by
making changes in fluid intake and
consumption of sodium, animal protein, and
oxalate.
Since Mr. Salta is overweight, a dietician can
also plan a meal that can help him to lose
weight as studies have shown that being
overweight increases the risk of kidney stone.

Summary
A kidney stone is a solid piece of material that forms in a kidney when
substances that are normally found in the urine become highly
concentrated.
It is one of the most common disorders of the urinary tract.
Mr. Salta, an engineer is our patient because of drinking too little water and
eating too much salty and sweet food he has a kidney stone problem.
For one month he is taking his medication Rowatinex- 3x a day
Rowachol- 2x a day, Acalka- 2x a day. Mr. Salta must avoid salty foods, aim
for
at least 2 -3 L of water (10-12 cups) each day, avoid Softdrinks, eat
plenty
of foods and vegetables, limit fast foods and convenience foods, and must
also
limit caffeine to 300 mg per day.
The doctor and dietician can help him to recover well. We feel great
pleasure whenever the patient and his family get treatment
satisfaction and getting better.

Bibliography

https://www.kidney.org/atoz/content/diet
https://
www.kidney.org/atoz/content/kidneystones