Kidney Stone Case Study
I had the pleasure of seeing Mr. [Name] for consultation on December, 10 2008, for his history of kidney stones. Mr. [Name] is a pleasant 70-year-old gentleman who has had a long history of kidney stones, and had multiple treatments related to that in the past. He also has a history of tracheomalacia and has a tracheostomy in place. His last shock wave lithotripsy were in the 80's. He recently had imaging studies demonstrating stones, and we had scheduled _____(Nova...) prior to coming in today. He is coming in _____(asymptomatic) and has not had any recent symptoms, although he does occasionally pass stones spontaneously.
His past medical history is significant for COPD, diabetes mellitus, osteoarthritis, gastroesophageal reflux disease, hypertension, hyperlipidemia, kidney stones, neuropathy, and tracheomalacia.
His past surgical history includes the shock wave lithotripsy, the tracheostomy, hemorrhoidectomy, and knee arthroscopy.
His current medications include Celebrex, digoxin, ipratropium bromide, Lasix, Nexium, Norvasc, Pravachol, Proventil, ranitidine, _____(p..flin/phyllin), Neurontin, albuterol, insulin, oxygen, Lortab, and propylthiouracil.
He reports _____ allergic to …show more content…
He does have a _____(plug) tracheostomy in place. He has no CVA tenderness. No abdominal masses are reviewed in his _____(KEB). He has got two 9 mm stones within the left kidney, the upper and lower pole. There are no visible stones in the right kidney, although on the CT scan they do appear to have scattered stones. I _____ discussion with treatment options with this patient. He is not an excellent general anesthesia candidate, and he is currently _____(symptomatic) from his stones. I feel like the best course of action will be to undergo 24-hour urine collection for a _____(s/l uroist), and return for followup. We will also him for a cytology, since he has had microscopic hematuria. He will return in 1 month to go over the
His past medical history is significant for COPD, diabetes mellitus, osteoarthritis, gastroesophageal reflux disease, hypertension, hyperlipidemia, kidney stones, neuropathy, and tracheomalacia.
His past surgical history includes the shock wave lithotripsy, the tracheostomy, hemorrhoidectomy, and knee arthroscopy.
His current medications include Celebrex, digoxin, ipratropium bromide, Lasix, Nexium, Norvasc, Pravachol, Proventil, ranitidine, _____(p..flin/phyllin), Neurontin, albuterol, insulin, oxygen, Lortab, and propylthiouracil.
He reports _____ allergic to …show more content…
He does have a _____(plug) tracheostomy in place. He has no CVA tenderness. No abdominal masses are reviewed in his _____(KEB). He has got two 9 mm stones within the left kidney, the upper and lower pole. There are no visible stones in the right kidney, although on the CT scan they do appear to have scattered stones. I _____ discussion with treatment options with this patient. He is not an excellent general anesthesia candidate, and he is currently _____(symptomatic) from his stones. I feel like the best course of action will be to undergo 24-hour urine collection for a _____(s/l uroist), and return for followup. We will also him for a cytology, since he has had microscopic hematuria. He will return in 1 month to go over the