Extracorporeal Shock Wave Lithotripsy: A Case Study

Regarding Extracorporeal shockwave therapy 1X3 - Left Shoulder, CA MTUS does not specifically address this issue. ACOEM and ODG recommended shockwave therapy for calcifying tendinitis but not for other shoulder disorders. This is a chronic pain patient with a 2014 date of injury. The patient has significant left shoulder pain. However, the latest progress note indicated that psychical exam revealed full ROM and no tenderness to palpation over the shoulder joint. In addition the guidelines do not recommend shockwave therapy for sprain/strains or laceration of the shoulder. Furthermore, the latest progress report discussed about continued shockwave treatment. It is unclear, if shockwave therapy has been provided before. Medical necessity has

     Lithotripsy can be administered in two different ways. One is a large bed in which you are immersed in water and hundreds of sound waves hit the stone over a period of an hour. It is so loud that you must wear earphones, but it is not painful because your body has the same properties as water, sound wise. Afterward, one should walk around and drink plenty of water. Another way is a small instrument with an ultrasound-producing end, which is shoved into you, and enters the bladder through

Mr. Jones is in healthy condition and has family support to assist with recovery after surgery. He does not drink alcohol or smoke. The patient does have HTN and takes Cozaar 10 mg daily. He also takes one vitamin supplement per day. Mr. Jones walks 30 minutes daily with wife for

Kidney Stone has been developing amongst individuals in the most recent 30 years and the purpose behind it is still obscure. A large number of individuals every year have issues with kidney stones, and there isn't a genuine cure to dissolving the kidney stone. Specialists can't do much other than instruct them to keep hydrated and give them torment relievers; if nothing works they need to do surgery. On the other hand, there are a considerable measure of theories in regards to home cures including kidney stones. Specialists need help to check whether some home cures will really cure it. Scientists

Ms. Snyder reported that she scheduled an appointment with her kidney doctor for kidney stone issue. Ms. Snyder is recommended to obtain a complete physical exam, including blood work, to rule out any medical issues that would be barriers to successful recovery.

What treatment options should be discussed with the patient? Provide a rationale for each potential treatment and how each is thought to impact the disease processes.

The primary rule of any treatment regimen is to first do no harm which is the first paradigm learned in any healthcare training program. This necessarily covers a large grouping of consequences among which are physical, emotional and financial harm. It is imperative that treatments continuously be discovered which will better allow professionals to determine what is happening with the patient, but improving these treatments so that they are less invasive and more comfortable is also a significant goal. Reducing the financial burden of treatments is a peripheral goal, but if it is attainable it will lessen the stress that patients feel also.

Riding a moderately intense roller coaster for just a few minutes might be enough to dislodge those pesky kidney stones before they turn into an even bigger problem. Researchers have showed that riding Thunder Mountain at Disney World in Orlando, Florida helped Kidney Stones dislodge! Kidney stones are small mineral deposits that form in the kidney and can be very painful to pass through the urinary tract.

To maximize the potential for recovery, a balanced diet including fruits and vegetables needs to be considered. To avoid snacks and fast food such as burgers, fish & chips and to consider cooked meals as an alternative. Explained that the amount of salt needed to be reduced as well.

The patient is a 52-year-old gentleman who did restart his lisinopril/hydrochlorothiazide, which he had run out of previously. He continues on his amlodipine 10 mg one p.o. daily. He tolerates these medications well. He does have a history of nephrolithiasis. His blood pressure has been well controlled at home.

Stages of change are interrelated with the stages of treatment. The client’s expectation of progress, through the treatment stages, are consistent in these stages of change. There are five stages of change, each with its own characteristics. First is the precontemplation stage where the client has no intention to change any time soon, and also may be unaware, or clueless of any problems. Second is the contemplation stage were the client is aware of the existing problem and has strong thoughts of changing, but has not established any commitment due to indecisions to move ahead. Third is the preparation stage were the client intends to take some kind of action in the future, usually within in a month. The clinician is the key in helping make a realistic assessment for the client’s goals. Commitment to change without the appropriate activates and skills can create a weak and incomplete plan. This stage is where some meaningful action has taken place in the past few months but has not yet been effective enough. Action is the fourth stage in which the client has made a definite and specific adjustment in their behavior within the last six months. It is important to provide reinforcement and support in helping maintain positive steps towards change. This modification to the client’s behavior is only in the form of action and should not be considered as actual change. The maintenance stage involves successfully avoiding former behaviors and keeping up with the new behaviors. In

The outcome: the patient always want to know that, if their disease is treatable or not

Shock wave treatment (extracorporeal biliary lithotripsy). In this treatment, an ultrasound machine sends shock waves to the gallbladder to break gallstones into smaller pieces that can then be passed into the intestines, or be dissolved by medicine.

Diagnosis is made on the basis of an imaging modality, such as kidney-ureter-bladder (KUB) radiography, ultrasonography or computed tomography (CT). This may be further complemented with blood tests and urine plus stone analysis. Treatment

stage is moderate, glomerular filtration rate (GFR) in the kidney has been reduced.7Yet, kidney still