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Case Study Patient 123

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Case Study Patient 123
I. Introduction
Patient 123
On 28th August 2017, Patient 123, a 45 year old Chinese uncle came to Hospital X to do a non-contrast abdomen Computed tomography (CT) scan which required a cross section view of the patient’s body anatomy to reassurance the reoccurrence of renal stones on the patient’s kidneys.
Patient was ambulant, alert, conscious and cooperative as he was able to follow the instructions given by the radiographer. As he could understood and converse in Chinese, there was no communication barrier.
Introduction to Urolithiasis
Kidneys are paired, bean-shaped retroperitoneal organs, which functions to remove excess water, salts and wastes of protein metabolism from the blood. The left and right side of the kidneys lie on the quadratus lumborum muscles, lateral to psoas muscles. In the retroperitoneum, within the perirenal space, surrounded by the renal fascia is where the normal kidneys can be found. Normal
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The incidence and prevalence of kidney stones is increasing globally and is seen across sex, race, and age. Changes in dietary practices may be the reason of the increment. Incidence rates reported by age group consistently show a rise-and-fall pattern as a population ages. Peak incidence was age 40 to 49 years for men, but for women, the peak incidence occurred at age 50 to 59 years. (Romero, Akpinar, & Assimos, 2010)
Urolithiasis also known as calculi, renal stones or nephrolithiasis can be form anywhere in the urinary tract, but most of it was form in the kidneys. The formation of urolithiasis is a complex process which began with the formation of hard, crystalline mineral material that grew and got retained within the urinary tract. Urolithiasis can be form within and obstruct the renal calices or the ureter. Obstructions plus periodic peristalsis of the ureter result in spasms of severe pain, radiating to flack and groin area. (Haaga, Lanzieri & Gilkeson,

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