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Human gallstones, all removed from one patient. Grid scale 1 mm. Calculi in the inner ear are called otoliths; Calculi in the urinary system are called urinary calculi and include kidney stones (also called renal calculi or nephroliths) and bladder stones (also called vesical calculi or cystoliths).
The Charrière is measured by the ''outer'' diameter, and is defined as 1 Fr = 1/3 mm, and thus 1 mm = 3 Fr; therefore the diameter of a round catheter in millimetres can be determined by dividing the French size by 3. [2] The French units roughly correspond to the outer circumference of the catheter (see table below).
Alpha-blockers appear to be more effective for larger stones (over 5 mm in size) than smaller stones. [106] However, use of alpha-blockers may be associated with a slight increase in serious, unwanted effects from this medication. [106] A combination of tamsulosin and a corticosteroid may be better than tamsulosin alone. [105]
A calculus (plural calculi) is a hard, stone-like concretion that forms within an organ or duct inside the body. They are usually made from mineral salts, and other types of calculi include tonsiloliths (tonsil stones) and renal calculi (kidney stones). Sialolithiasis refers to the formation of calculi within a salivary gland.
A giant ureteral stone with dimensions of approximately 6 × 5 × 4 cm and weighing 61 grams extracted from the left ureter of a 19-year-old male. A kidney stone can move from the kidney and become lodged inside the ureter, which can block the flow of urine, as well as cause a sharp cramp in the back, side, or lower abdomen. [9]
Kidney stones can reach exceptional size. In December 2003, a kidney stone weighing 356 g (12.5 oz) was removed from the right kidney of Peter Baulman of Australia. At its widest point, the stone measured 11.86 cm (4.66 in). [9] In 2017, a 2 kg (4.4 lb) stone spanning 20 cm was surgically removed from Abdul Abu Al Hajjar in Kensington, England ...
The size of the renal pelvis plays a major role in the grading of hydronephrosis. Normally, the anteroposterior diameter of the renal pelvis is less than 4 mm in fetuses up to 32 weeks of gestational age and 7 mm afterwards. [2] In adults, 13% of the normal population have a transverse pelvic diameter of over 10 mm. [3]
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).
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