This type of pain has been recurrent for at least 4 times in the last 6 months. She has visited 2 other medical doctors and "none of them have been able to get rid of the pain", the patient told me. Hyperthermia is occasionally present, especially at night and when the pain is grater. No other symptoms are present.
Patient had G: IV A: 0 CS: 0 ND: IV. Post-menopause, 13 years, currently without symptoms, not taking hormonal therapy. No surgeries in her medical history, no other chronic diseases either nor physical trauma. There is no history of DB nor CA in the family.
I proceed to perform physical auscultation which reports pain when pressing on lumbar area. Fever is not present at the time of exploration. Pain does not increase when bending. These is all I have to diagnose. The other two doctors diagnosed Lumbalgia and treated as such.
UA reports: epithelial cells ++++, hematuria: micro +, albuminuria ++, leukocytes +++, bacterias +++,
CBC reports increased leucos. Rest of blood tests are normal.
Renal US reports lithos in both kidneys.
CONCLUSION:
Taking some interest in the patient, in his/her medical case, will always lead us to the right diagnosis and medical treatment.
It is the same for any industry. No matter what the end product, if you fail to do the research the outcome will not go well. Fail to Prepare, prepare to fail.
ReplyDeleteThis, I imagine, is especially true for the medical profession. Well done Doc.
Alex
Type of blood, A positive?
ReplyDeletePS Doc, finally moved. Rosarito this year. TJ next. Getting our FM3's ready to buy a house. Sent you an email, Doc.
I was an avid cyclist. Several 100 Mile rides per month with lots of sweating etc. Common scenario for athletic people, whether cycling, running, etc. Typically summer months so heat and sweating is a major element. Anyhow, began developing uric acid stones. Typically 2-4mm. Like most people, excruciating pain, vomiting, ER trips with IV's, etc. All passed "naturally.” Finally, went to University of Chicago and enrolled in their kidney stone program to evaluate my urinary system conditions. After analysis, they prescribed Polycitra-K. Mix it in my water bottle. The problem has diminished substantially! Hope this helps someone out there. I was ready to quit all activities after my second stone, but this supplement has allowed me to keep working out. I believe Urocit is a pill form of one of these supplements.
ReplyDeleteExcellent to-the-point info for a first-time kidney stone patient. This was very helpful.
ReplyDeleteCheck this out Doc.
ReplyDeletehttp://www.youtube.com/watch?v=JLRDRzMWIsg&feature=fvw
Alex
I watched the video, Alex. He goes so fast, my goodness. I am glad he's alive and doing well.
ReplyDeleteI wonder: how in the world the bicycle came apart, poor manufacturing maybe?
I like to speed on my bike too, but on a pave road. Great video, Alex. Thanks for sharing. I put it in my favorites.
I have had the laser twice, and can attest to feeling quite tender after, but nothing compared to the kidney stone pain. For me it was quite relieving, like a very intense massage you know is doing you good. As for the stones, if I do not drink my daily 2 litres of water, I have severe abdominal pain within 3 days. It's quite frustrating as nothing seems to effectively prevent or cure, and much advice seems contradictory! ("Eat loads of celery", "Eat none no celery all" and my favorite: "Kidney stones cause no pain whatsoever" This from a doctor!)
ReplyDeleteI had a backache with soreness to the touch. I thought I had hurt myself somehow while gardening. This was in the evening; during the night it only hurt when I changed positions. The pain was just below my waist on the right side. The next morning the pain was worse, and it hurt to move. It wasn't until about 10 p.m. that it started to spasm and was much worse. At that time, I recognized it as renal colic; I had passed a stone several years ago, and here it was again. The first time I had no idea what was happening, just that the pain was excruciating, and I had a friend take me to the emergency room. This time I know what to look for--the symptoms of real trouble (unable to urinate, blood in the urine, etc.). So I am staying home and taking pain pills, watching out for signs of more serious problems, and praying that it passes soon.
ReplyDeleteI had a backache with soreness to the touch. I thought I had hurt myself somehow while gardening. This was in the evening; during the night it only hurt when I changed positions. The pain was just below my waist on the right side. The next morning the pain was worse, and it hurt to move. It wasn't until about 10 p.m. that it started to spasm and was much worse. At that time, I recognized it as renal colic; I had passed a stone several years ago, and here it was again. The first time I had no idea what was happening, just that the pain was excruciating, and I had a friend take me to the emergency room. This time I know what to look for--the symptoms of real trouble (unable to urinate, blood in the urine, etc.). So I am staying home and taking pain pills, watching out for signs of more serious problems, and praying that it passes soon.
ReplyDeleteExcellent to-the-point info for a first-time kidney stone patient. This was very helpful.
ReplyDelete