Pathophysiology of Diabetes Mellitus Type II and Nephrolithiasis

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Pathophysiology of Diabetes Mellitus Type II and Nephrolithiasis Precipitating factors: frequent or chronic infections eating too much sweets

diet sedentary lifestyle Predisposing factors: 1. family history of DM 2. obesity 3. Age above 40 Insulin resistance

1. 2. 3. 4.

Exhaustion of beta cells

Insulin production/ decrease secretion of insulin Absorption of glucose by the cell Breakdown of fat

Cell starvation

Stimulation of hunger mechanism via hypothalamus

Hunger

POLYPHAGIA

HYPERGLYCEMIA

CBC 333MG/DL

Kidney filtration mechanism impaired

Capillary basement membrane thickening

GLYCOSURIA

Acidity of urine Diffuse glomerular sclerosis Urethral flora

Urinary tract infection cause by Urea splitting microorganism increase production of WBC

UTI

Circulating blood volume

POLYURIA & ALBUMINURIA

Progression of stone to Loop of Henle Accumulation of stones and increasing in size Blood Bessel wall surface Attraction and erosion Stone formation in kidneys Increase size of stones in kidneys Stone matrix progression Multiple urinary calculus

F & E imbalance

Hyponatremia

Hypocalcemia

Hypoalbuminemia

Electrolyte imbalances r/t

hunger

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