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.
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.
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.
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.
Comparison of Retrograde Intrarenal Surgery and Standard Percutaneous Nephrolithotomy For Management of Stones at Ureteropelvic Junction With High-Grade Hydronephrosis