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1、AudleyAudleyOsbourneOsbourneHMSIVJuly2004GillianLieberman,MDRadiologicInterpretationofRadiologicInterpretationofNephrolithasisNephrolithasisAudleyAudleyOsbourneOsbourneHMSIVHMSIVCoreRadiologyCoreRadiologyGillianLiebermanMDGillianLiebermanMDAudleyAudleyOsbourneOsbourneHMSIVJuly2004Gilli
2、anLieberman,MDAgendaAgendaCasePresentationCasePresentationBriefbackgroundonrenalcalculiBriefbackgroundonrenalcalculiAnatomyreviewAnatomyreviewRadiologicoptionsRadiologicoptionsGroupdiagnosisGroupdiagnosis2AudleyAudleyOsbourneOsbourneHMSIVJuly2004GillianLieberman,MDPatient1Patient1C.C.:
3、RightFlankPainC.C.:RightFlankPainHPI:52HPI:52yoyomalewithHIVcomesinwithatwomalewithHIVcomesinwithatwodaydayhxhxofrightflankpainandlowgradefevers.ofrightflankpainandlowgradefevers.Hehasepisodesofcolickyflankpaininthepast.Hehasepisodesofcolickyflankpaininthepast.HedeniesanygrossHedeniesa
4、nygrosshematuriahematuriabutreportsbutreportsoccasionalfeversandchills.Reviewofsystemsoccasionalfeversandchills.ReviewofsystemsisnegativeandheiscompliantwithhisHAARTisnegativeandheiscompliantwithhisHAARTtherapy.therapy.PMH:HIVPMH:HIVMeds:Meds:epivirepivir,,imodiumimodium,,levaquinlevaq
5、uin,,crixivancrixivan,,lipitorlipitor,,viagraviagra,,zeritzerit,,percocetpercocet..PE:CVAtendernessPE:CVAtenderness3AudleyAudleyOsbourneOsbourneHMSIVJuly2004GillianLieberman,MDPreliminaryPreliminaryDdxDdxCholelithiasisCholelithiasisPancreatitisPancreatitisInfectionInfectionAcuteIntesti
6、nalObstructionAcuteIntestinalObstructionNephrolithiasisNephrolithiasis4AudleyAudleyOsbourneOsbourneHMSIVJuly2004GillianLieberman,MDRenalCalculiRenalCalculiThirdmostcommonailmentoftheurinaryThirdmostcommonailmentoftheurinarytractafterprostatepathologyandUTI.tractafterprostatepathologyan
7、dUTI.Etiology:Etiology:MostcommonlyduetopolycrystallineMostcommonlyduetopolycrystallineaggregationscomposedofcrystalloidandaggregationscomposedofcrystalloidandorganicmatrix.Supersaturatedurineinorganicmatrix.SupersaturatedurineincombinationwithabnormalurinarypH,combinationwithabnorma
