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Pico Nephrolithiasis

The document discusses a patient case involving a geriatric patient with hydronephrosis, hydroureter, bilateral kidney cysts, and a history of nephrolithiasis and diabetes. It asks whether a lack of fluid intake and physical activity can influence kidney stone formation. A literature search found studies showing that dehydration from low fluid intake increases risk of nephrolithiasis. Higher physical activity levels may decrease risk compared to low activity levels.

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MADI 2L8
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94 views11 pages

Pico Nephrolithiasis

The document discusses a patient case involving a geriatric patient with hydronephrosis, hydroureter, bilateral kidney cysts, and a history of nephrolithiasis and diabetes. It asks whether a lack of fluid intake and physical activity can influence kidney stone formation. A literature search found studies showing that dehydration from low fluid intake increases risk of nephrolithiasis. Higher physical activity levels may decrease risk compared to low activity levels.

Uploaded by

MADI 2L8
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PICO 3

dr. Agus, M.Kes


dr. Feby Wardhani Utami
dr. Satriyo Madipurwo
dr. Yuanita Wijayanti
PICO
• P: Geriatri dengan Hidronefrosis dan hidroureter
kanan ec susp obstruksi ec Kista simpel Ginjal
Bilateral dengan riwayat operasi laser ec
Nephrolithiasis bilateral+ DM Type 2
• I : Pengaruh kurang minum dan kurang aktivitas
fisik terhadap pembentukan batu ginjal
• C : Produksi urine normal dalam 24 jam dan
Aktivitas fisik normal
• O: Terbentuknya batu ginjal
PERTANYAAN KLINIS
1. Apakah ada pengaruh kurang minum
terhadap pembentukan batu ginjal?
•
(“nephrolithiasis”)and(“diet”)and(“liquid”)and
(“water”)
2. Apakah ada pengaruh kurangnya aktivitas
fisik terhadap pembentukan batu ginjal?
• (“nephrolithiasis”)and(“physical activity”)
HASIL PENCARIAN JURNAL
1.

Lin BB, et al.2020


HASIL PENCARIAN JURNAL
2

1. Sebuah study terhadap 100 pekerja


pabrik baja melaporkan riwayat penyakit
batu pada 16% dengan osmolaritas urine
>700 moSm (Dehidrasi) 50% pekerja.
2. Survey: Dokter yang bekerja di ruang
operasi memiliki prevalensi
nephrolithiasis tertinggi (17,4% vs 9,7%)
3. Studi terkontrol secara acak terhadap
199 pasien batu kalsium oksalat
idiopatik pertama kali mengevaluasi
dampak asupan cairan yang tinggi dalam
mencegah kekambuhan batu.

Siener, R. 2021
HASIL PENCARIAN JURNAL
3

Lin BB, et al.2020


HASIL PENCARIAN JURNAL
4

Feng X,et al.2020


HASIL PENCARIAN JURNAL
HASIL PENCARIAN JURNAL
KESIMPULAN
1. Menurut Artikel penelitian “Dietary and
lifestyle factors for primary prevention of
nephrolithiasis: a systemic review and meta-
analysis”: Terdapat hubungan antara
pengaruh air dengan kejadian nephrolithiasis
2. Menurut artikel “Nutrition and Kidney stone
disease” terdapat hubungan antara asupan air
cairan dengan pembentukan nephrolithiasis.
KESIMPULAN
3. Menurut Artikel penelitian “Dietary and lifestyle factors
for primary prevention of nephrolithiasis: a systemic
review and meta- analysis”: Terdapat hubungan antara
aktivitas fisik dengan kejadian nephrolithiasis, semakin
tinggi tingakat aktivitas fisik maka semakin rendah
untuk terjadi nephrolithiasis.
4. Menurut artikel “Association between physical activity
and kydney stones based on dose-response analysis
using restricted cubic splines ” Terdapat hubungan
antara aktivitas dengan pembentukan nephrolithiasis.

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