NR-570 Common Diagnosis and
Management in Acute Care
Practicum
Final Exam (Latest Update)
Question:
Where is the stone located if the patient has pain in the groin region?
Answer:
pain that radiates downward into the groin indicates the stone has passed
into the lower third of the ureter
Question:
Vague flank pain or acute colicky pain with increasing intensity means the
stone is located where?
Answer:
stones in renal pelvis
,Question:
Differential Diagnosis for abdominal pain and/or flank pain:
Answer:
Nephrolithiasis (kidney stones)
Pyelonephritis (kidney infection)
Ectopic pregnancy
Ovarian or testicular torsion
Appendicitis
Bowel obstruction
Diverticulitis
Rupture of aortic aneurysm
Question:
Right lower abdominal tenderness with a +Blumberg sign. What should be
suspected?
Answer:
Blumberg sign: Rebound tenderness in the RLQ, caused by acute peritonitis.
*Appendicitis
Question:
What labs do we run to diagnose a kidney stone?
Answer:
UA dipstick, urine microscopy and urine C&S
,Serum blood urea nitrogen (BUN) and creatinine (Cr) to assess renal
function.
Question:
What radiology methods are preferred for outpatient treatment and why
Answer:
inexpensive, easily accessible. in combo its more practical
-KUB xray
-Renal Ultrasound
Question:
What stones can be seen on a KUB?
What stone can you not see on a KUB
Answer:
CAN see: Calcium oxalate - most common type of stone
CANNOT see: uric acid stones (radio translucent)
Question:
What is a Renal Ultrasound used for when testing for kidney stones?
Answer:
good for assessing for hydronephrosis (excess fluid in the kidney d/t back up
of urine that can be caused by an obstruction). Bad for identifying a stone.
, Question:
What is the GOLD STANDARD for diagnosing a kidney stone?
Answer:
Non-contrast CT scan.
Question:
Goal of renal calculi treatment
Answer:
focused on symptomatic relief
pain medications -NSAID or narcs
antiemetics -n/v
facilitate stone passage-Thiazide diuretics, alpha-blockers or calcium
channel blockers to help facilitate the passage of a stone. Terazosin -alpha
blockers used for BPH.
Question:
<5 mm renal calculi can
Answer:
be passed through the urine. may only require NSAIDs for management.
Management in Acute Care
Practicum
Final Exam (Latest Update)
Question:
Where is the stone located if the patient has pain in the groin region?
Answer:
pain that radiates downward into the groin indicates the stone has passed
into the lower third of the ureter
Question:
Vague flank pain or acute colicky pain with increasing intensity means the
stone is located where?
Answer:
stones in renal pelvis
,Question:
Differential Diagnosis for abdominal pain and/or flank pain:
Answer:
Nephrolithiasis (kidney stones)
Pyelonephritis (kidney infection)
Ectopic pregnancy
Ovarian or testicular torsion
Appendicitis
Bowel obstruction
Diverticulitis
Rupture of aortic aneurysm
Question:
Right lower abdominal tenderness with a +Blumberg sign. What should be
suspected?
Answer:
Blumberg sign: Rebound tenderness in the RLQ, caused by acute peritonitis.
*Appendicitis
Question:
What labs do we run to diagnose a kidney stone?
Answer:
UA dipstick, urine microscopy and urine C&S
,Serum blood urea nitrogen (BUN) and creatinine (Cr) to assess renal
function.
Question:
What radiology methods are preferred for outpatient treatment and why
Answer:
inexpensive, easily accessible. in combo its more practical
-KUB xray
-Renal Ultrasound
Question:
What stones can be seen on a KUB?
What stone can you not see on a KUB
Answer:
CAN see: Calcium oxalate - most common type of stone
CANNOT see: uric acid stones (radio translucent)
Question:
What is a Renal Ultrasound used for when testing for kidney stones?
Answer:
good for assessing for hydronephrosis (excess fluid in the kidney d/t back up
of urine that can be caused by an obstruction). Bad for identifying a stone.
, Question:
What is the GOLD STANDARD for diagnosing a kidney stone?
Answer:
Non-contrast CT scan.
Question:
Goal of renal calculi treatment
Answer:
focused on symptomatic relief
pain medications -NSAID or narcs
antiemetics -n/v
facilitate stone passage-Thiazide diuretics, alpha-blockers or calcium
channel blockers to help facilitate the passage of a stone. Terazosin -alpha
blockers used for BPH.
Question:
<5 mm renal calculi can
Answer:
be passed through the urine. may only require NSAIDs for management.
