A pt had passed a 4mm stone in his urine. He has a 3mm stone in the renal pelvis found on US.
What is the management?
a. ESWL
b. None
c. Dormier basket
d. Surgery
e. PCNL
answer: B
TTT of urinary stones in adults
< 5mm = conservative
renal stones
>2cm PCNL
<2cm ESWL
ureter >7mm
ESWL 1st line
Ureterscopy 2nd line
PCNL 3rd line
Bladder >7mm
Transurtheral removal
Cystolithoplaxy
GOLD standard INV: non contrast helical CT
in children, U/S, KUB maybe enough to avoid radiation exposure
No comments:
Post a Comment