Urinary stones clinical diagnosis

(A) The history and physical examination: in the history of the many typical renal colic and hematuria, Urethra or has been discharged from a stone. Inquiries can be found in the affected kidney area pain, complicated by infection, when higher water
Blow pain become more evident, hydronephrosis heavier swelling can hit the kidney, ureter stones can sometimes end of the rectum or vagina that the seizure hit.
(B) The laboratory examination: urine routine examination showed RBC, WBC or crystallization of oxalate in the urine pH and urate stones patients often acidic; phosphate stones often alkaline. A
And urinary infection appeared more , urine bacteriological culture often positive, counting more than 100,000 / ml more complicated with acute infection and infection heavier, white blood routine examination showed
The total number of tablets and neutrophil cells increased. Multiple stones and recurrent patients, serum and urine of calcium and phosphorus values, uric acid value, in order to further clarify the cause of stone.
(C) X-ray inspection: X-ray examination in the diagnosis of renal and ureteral stones important way, about 95 per cent of the urinary calculi in the X-ray image. Supplemented by excretion or retrograde pyelography
Ureteral contrast, we can identify the location stones, and whether obstruction obstruction of the contralateral kidney function is good, other than the difference between urinary calcium from the shadow of its exclusion of upper urinary tract
It diseases, treatment programs and identify stones after treatment site, size and the number of contrast, have significant value. Low-density or translucent Huai Shi, be ureter, renal pelvis inflatable contrast,
Stone showed greater clarity.
(D) Other inspections: B-sites can be in the exploration and stone-points, or intensive-Mission, the merger may Hydronephrosis-exploration of the liquid. Check that radionuclide renography was affected urinary tract obstruction of shape.