Study of Clinical Profile and Management of Nephrolithiasis at Tertiary Care Rural Hospital of Central India
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Abstract
Background :Renal stones are a major and a very common problem in today’s world. They occur in every age group but the peak is seen in individuals aged between 20–49 years and more commonly among males. In developing countries, upper urinary tract stones have a less common incidence than compared to bladder calculi, while the opposite holds true for developed countries. With increasing prevalence renal stones are causing a significant burden on the economy of both developed and developing countries. Several studies have noted that nephrolithiasis are commonly seen in association with various non communicable diseases like type 2 DM , hypertension and obesity. It is also observed that certain lifestyle and environmental factors also contribute greatly in renal stones formation.
Methodology:A total of 40 patients of either sex , who are willing to undergo this observational study, will be enrolled in the study. Firstly, the patient's thorough history will be taken which includes his chief complaints. Athrough general examination of the patient will be done, followed by a detailed clinical examination. Patients will be first subjected to routine investigations like HB, TLC, DLC, PLATELETS, LFT, KFT, Blood sugar, Urine routine and microscopy then followed by special investigations like serum calcium, serum phosphate, Venous Blood Gas and bicarbonate. Patient will also be subjected to radiological investigation like X-ray KUB and ultrasonography of abdomen and pelvis, CECT KUB or IVP (depending on KFT).And depending on the condition of the patient the modality of management will be selected. If a patient undergoes surgical mode treatment then the stone will be sent for chemical analysis to find the Composition of stone.
Conclusion :Will be drawn after the study.