Case report on- Management and complication of vesicular calculi with obstructive Hydronephrosis with CKD

Abstract

Hydronephrosis is the swelling of a kidney due to a build-up of urine. It happens when urine cannot drain out from a blockage or obstruction. Hydronephrosis can occur in one or both kidneys. The primary function of the urinary tract is to remove wastes and fluid from the body. In today's urology, multiple giant vesical calculi are a rare occurrence. In the English literature, only a few examples of vesical calculi weighing more than 100 g have been described. Arthur et al. created the world's most extensive vesical calculus, weighing 6294 g. Bladder stones can be asymptomatic and only detected by chance. Rat kidney transplantation is a common experimental model for the creation of general microsurgical or transplantation procedures, immunologic research, and the examination of transplant-related long-term alterations in arterial blood pressure. Main symptoms and Important clinical Findings:- A 45 years old male was admitted to a rural hospital in the medicine ward on date 11-01-2022 with the chief complaint of Vomiting, Nausea, fever and Urinary, Fatigue, high blood pressure, loss of appetite, malaise, or water-electrolyte imbalance Problem 1 week. The primary diagnosis, therapeutic interventions and outcome:-This case were diagnosed after a physical examination and research. Vesicular calculi with obstructive Hydronephrosis with CKD chief complaint pain, vomiting, and blood in the urine for one week. Weakness, severe muscle, severe loss of appetite and two weeks. Nursing perspective:- - NS and RL nebulization are examples of fluid replacement. Vitals are being monitored on an hourly basis.Conclusion:-vesicular calculi with obstructive Hydronephrosis with CKD case was rare. CysC more accurately depicts changes in renal function in patients with hydronephrosis brought on by ureteral calculi, and the CKD-EPI CysC equation has the highest accuracy. Early diagnosis and early treatment are necessary to prevent further complications. He responded to all medication, and her recovery was good.