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Clinical Manifestation of Urolithiasis - Nursing Care Gastrointestinal and Urinary Systems

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2-28. CLINICAL MANIFESTATIONS OF UROLITHIASIS
Signs and symptoms will vary according to the size and location of the stone.
Symptoms also vary with the presence of infection and/or obstruction.
a. General symptoms include:
(1)
Pain.
(2)
Diarrhea.
(4)
Vomiting.
(5)
Abdominal discomfort.
b. Renal colic, associated with kidney stones, is manifested by:
(1)
Acute renal area pain, radiating anteriorly and downward.
(2)
Nausea.
(3)
Vomiting.
(4)
Loin tenderness.
c. Ureteral colic, associated with stones in the ureters, is manifested by:
(1)
Acute, colicky pains radiating to genital area and down the thigh.
(2)
Frequent desire to void, with little urine passed.
(3)
Hematuria.
2-29. NURSING IMPLICATIONS
Nursing care of patients with urolithiasis involves:
a. Controlling Pain.
(1)  Administer pain medications as prescribed and assess patient
frequently, as this pain can be excruciating.
(2)
Hot bath or moist heat to painful area.
b. Relief of Obstruction.
MED918
2-30



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