(Microsoft PowerPoint - Obstructive Uropathy \315.\307\322\267\324 ...

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Uric acid Stone • All mammals, except humans humans and and Dalmatians, Dalmatians, synthesize the enzyme uricase, uricase, which catalyzes the conversion of uric acid to allantoin, allantoin, the end product of purine metabolism • Because allantoin is 10 to 100 times more soluble in urine than uric acid, humans are prone to uric acid stone formation
Relationship between undissociated uric acid, total uric acid, and urinary pH
Page 1 and 2: Obstructive Uropathy Watid Karnjana
Page 3 and 4: Obstructive nephropathy • Functio
Page 5 and 6: Pathologic changes of obstruction
Page 7 and 8: Post-obstructive Post obstructive D
Page 9 and 10: Causes of obstructive uropathy Func
Page 11 and 12: Epidemiology • The lifetime preva
Page 13 and 14: Gender • Stone disease typically
Page 15 and 16: Geography • Higher prevalence of
Page 17: Pathogenesis
Page 20 and 21: Classification
Page 22 and 23: 1.Hypercalciuria • Absorptive Hyp
Page 24 and 25: Renal Hypercalciuria Functional tub
Page 26 and 27: 2.Hyperoxaluria • Primary hyperox
Page 28 and 29: Enteric Hyperoxaluria • Most comm
Page 30 and 31: 3.Hyperuricosuria • Hyperuricosur
Page 32 and 33: Citrate • Acid-base Acid base sta
Page 34 and 35: RTA • There are three types of RT
Page 38 and 39: Uric acid Stone • The three main
Page 40 and 41: Cystine Stone • Cystine stones ar
Page 42 and 43: Infection Stone • The most common
Page 44 and 45: Miscellaneous Stones • Xanthine a
Page 46 and 47: Approach to the patients
Page 48 and 49: Indications for a Metabolic Stone E
Page 50 and 51: Dietary Modification • High fluid
Page 52 and 53: Acute flank pain • History - Fami
Page 54 and 55: Acute flank pain • Lab investigat
Page 56 and 57: Surgical Management of Urolithasis
Page 58 and 59: Renal calculi Optional treatment :
Page 60 and 61: ESWL • Poor result factors 1.Larg
Page 62 and 63: Staghorn calculi • Pelvic stone +
Page 64 and 65: Surgical management 1. Open stone s
Page 66 and 67: 1 cm ESWL Renal stone 1-2 cm Lower
Page 68 and 69: Proximal ureteric stone • Stone <
Page 70 and 71: Distal ureteric stone • Not be us
Page 72: Ureteric stone • Laparoscopic ure
Page 75: Result
Page 78 and 79: Bladder calculi • 5% of all urina
Page 80 and 81: Treatment • Cystolitholapaxy - Co
Page 83: Knowledge • Smith's General Urolo

(Microsoft PowerPoint - Obstructive Uropathy \315.\307\322\267\324 ...

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