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An abdominal x-ray is an x-ray of the abdomen. It is sometimes abbreviated to AXR, or KUB (for kidneys, ureters, ... and can detect the presence of kidney stones. The ...
Kidney stone disease, also known as renal calculus disease, nephrolithiasis or urolithiasis, is a crystallopathy where a solid piece of material (renal calculus) develops in the urinary tract. [2] Renal calculi typically form in the kidney and leave the body in the urine stream. [2] A small calculus may pass without causing symptoms. [2]
Patients with a kidney stone and obstruction are usually required to stay in hospital for monitoring or further treatment. An Emergency IVP is carried out roughly as follows: plain KUB or abdominal X-ray; an injection of contrast media, typically 50 ml; delayed abdominal X-ray, taken at roughly 15 minutes post injection.
A kidney stone is a hard object, which can be as small as a grain of salt or as big as a golf ball, made from chemicals—calcium oxalate, uric acid, struvite, and cystine—found in our urine ...
Figure 18. Renal stone located at the pyeloureteric junction with accompanying hydronephrosis. [1] With US, larger stones (>5–7 mm) within the kidney, i.e., in the calyces, the pelvis and the pyeloureteric junction, can be differentiated, especially in the cases with accompanying hydronephrosis (Figure 18 and Figure 19).
It is most commonly seen as an incidental finding with medullary sponge kidney on an abdominal x-ray. It may be severe enough to cause (as well as be caused by) renal tubular acidosis or even end stage kidney disease, due to disruption of the kidney tissue by the deposited calcium salts.
Some stone types (mainly those with substantial calcium content) can be detected on X-ray and CT scan; Many stone types can be detected by ultrasound; Factors contributing to stone formation (as in #Etiology) are often tested: Laboratory testing can give levels of relevant substances in blood or urine
This has the advantage of showing whether there is any obstruction of flow of urine causing hydronephrosis as well as demonstrating the function of the other kidney. Many stones are not visible on plain X-ray or IVU but 99% of stones are visible on CT and therefore CT is becoming a common choice of initial investigation. CT is not used, however ...
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