Urinary Calculi and the Factors Responsible for the Development of Stones
A 45-year-old grocery sales clerk has been suffering from bouts of severe pain in his left flank region. He blamed it on prolonged standing for 8 hours straight while working. He was taking over-the-counter pain medications for his pain. One day, he found fresh blood in his urine. He went to a doctor who performed urine tests, CT scans, and x-rays. He was diagnosed with urinary calculi.
Discuss possible factors that may have been responsible for the development of the stone and use this case to show how the patient's diet and water intake can help analyze the composition of the calculi.
What would be the test results of his white blood cells, blood calcium levels, CT scan, and x-ray?
Suggest the best treatment for the patient and a plan to prevent recurrence post-treatment.
Urinary Calculi
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Urinary Calculi
Factors Responsible for the Development of Stones
When a patient consumes excessive amounts of insoluble salts or does not drink enough water, producing extremely concentrated urine, calculi may develop in the urinary tract. Calculi usually develop when the urine is extremely concentrated with insoluble salts and other elements like struvite and calcium oxalate (Ranasinha & Chandrasekera, 2021). The stones range in size and can either remain where they originated or migrate down into the urinary tract, where they cause the patient to experience particular symptoms. The 45-year-old grocery store attendant's calculi may have developed due to his failure to drink enough fluids throughout his eight-hour shift. Another reason for the formation of very concentrated urine could be that the patient is so busy for eight hours that he does not have time to empty his bladder. The patient has high levels of calculi if his diet consists primarily of soft drinks and