The SES’s, R.C. Patel Institute of PharmaceuticalEducation & Research , Shirpur

KIDNEY STONEPresented By:-

KAMLESH A. WADILE(B. Pharmacy)

CASE PRESENTATION

Proforma:-Name : ABC Sex : Female Age : 35Address : Shirpur,Dist. Dhule

Hospital Name : Gaurav Hospital

Hospital Add. : Shirpur,Dist. Dhule

Physician Name : Dr. S.R. Wadile

Social History : non-vegetarian , non-alcoholic

Family History :noneAssociated Disease :nonePast medical history :nilPast medication history :nil

Patient Complaint : Nausea, pain at lower back,

right side abdominal painDiagnosis : Kidney stone (renal

calculus)

• KIDNEY STONE :- ‘ Kidney stone or renal calculus or nephrolith , is a calculus formed in the kidneys from minerals in the urine.’

ABDOMINAL SONOGRAPHY

(5.4mm of calculus noted in lower calyx of right kidney.)

HAEMOGRAMTEST NAME RESULT UNITS REFERENCE

RANGE

Haemoglobin 9.5 gm% 12-16

R.B.C Count 3.92 mill/cmm 3.8-4.8

W.B.C Count 5300 /cu.mm 4000-10,000

Platelet Count 2,12,000 /cumm 140,000-440,000

Differential WBC CountTEST NAME RESULT REFERENCE

RANGE

Neutrophils 60% 60-70%

Lymphocytes 35% 20-40%

Eosinophils 02% 1-6%

Monocytes 03% 2-5%

Basophils 00% 0.5-1%

Urine Analysis1. Physical Examination Quantity : 10 mlColour : Light Yellow Appearance : Clear 2. Microscopic ExaminationEpithelial cells :1-2HpfPus Cells : 3-4HpfRed Blood Cells : nilCrystals : nilBacteria : nil

3. Chemical Examination Reaction (PH) :Acidic Albumin : Nil Sugar : Nil Acetone(Ketone) : Nil Bile Salt : Nil Bile pigment : Nil

BIOCHEMISTRY S.G.P.T. Level : 20.17 (5-40 U/ml)Creatinine Level : 1.0 (0.7-1.4 mg%)Calsium Level : 8.83(8.7-11mg/dl)

Medication DetailsSr No

Medication

(drug)

Doses

Frequency

Route

Category Price

1 Tab. Cystone(shilapush

pa)

130 mg

TD Oral Antilithiatic &lithotriptic

-

2 Tab. Zenflox

UTI(ofloxacin)

200 mg

TD Oral antimicrobial -

3 Tab. Zerodolspa

s(aceclofen

ac)

100 mg

TD Oral antiinflammatory

-

4 Tab. Ranidom

(ranitidine)

10 mg

TD Oral antacid -

5 Liq. Aristozyme

1 mg TD Oral digestive -

1)OFLOXACIN:-Increases effect of anti-coaggulants.2)ACECLOFENAC:- This may also enhance activity of anti-coaggulants.

DRUG INTERACTION

Patient counselingDrink enough quantity of water.Avoid eating of more calcium containing

food or diet.Eat fruit, vegetables & whole grains.Avoid food high in oxalates.

References

K.D.Tripathi “Essentials of Medical Pharmacology”, Sixth edition , JaypeeBrothers Medical Publishers.

www.cimsasia.com www.mims.com www.drugdigest.com www.en.m.wikipedia.org/wiki/kidneystone

THANK YOU