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What Is Medullary Nephrocalcinosis?
Medullary Nephrocalcinosis is a disorder of the kidney in which there is accumulation of excess calcium within the medulla of the kidney . The myeline of the kidney , also known as nephritic medulla , is the innermost part of the kidney . It is splint into different percentage call Pyramid . The function of the renal medulla is to keep a equipoise between salinity and water in the blood . It also act as filter for ion such as atomic number 11 , chloride , potassium , and Ca .
Medullary Nephrocalcinosis is commonly a result of some other aesculapian status which result in the inability of the renal myelin to dribble out the atomic number 20 ions do an accumulation of calcium with the medulla of the kidney causing Medullary Nephrocalcinosis . This experimental condition in itself is normally asymptomatic but the moved someone may receive symptom of the inherent medical shape that is responsible for for the development of Medullary Nephrocalcinosis .
In most of the cases , kidney stones are believed to be responsible for Medullary Nephrocalcinosis and in such cases the affected individual will experience blood in the urine , sickness andvomiting , abdominal painalong withpain in the flank area .
Some of the other causes for Medullary Nephrocalcinosis are certain medicine which increases the levels of Ca in the blood , infection , aesculapian condition likehyperparathyroidismand renal tubular acidosis . In some cases , there has been a genetic link to the development of Medullary Nephrocalcinosis .
The mainstay of treatment for Medullary Nephrocalcinosis is to identify the cause of the stipulation and then treating it . Preventing further accretion of calcium within the myelin of the kidney is the master aim of the treatment of Medullary Nephrocalcinosis .
What Causes Medullary Nephrocalcinosis?
As stated , the main cause for the development of Medullary Nephrocalcinosis is conceive to be renal stones , although there are certain infection which also lead to surplus calcium in the blood . There are also other medical condition that are trust to play a part in the development of Medullary Nephrocalcinosis . These aesculapian conditions are :
What Are The Symptoms Of Medullary Nephrocalcinosis?
Medullary Nephrocalcinosis in itself does not cause any symptom and the symptom primarily are due to the aesculapian circumstance induce Medullary Nephrocalcinosis . The plebeian symptoms that are link with Medullary Nephrocalcinosis are :
How Is Medullary Nephrocalcinosis Diagnosed?
Based on the symptoms described by the patient , the treat MD will govern ripe radiological studies in the chassis of aCT scanof the kidney along with anultrasound . These study will clearly show deposition of Ca within the region of the renal medulla confirming the diagnosing of Medullary Nephrocalcinosis .
Some of the other investigation that may be done for diagnosing of Medullary Nephrocalcinosis are rake mental test to check for the levels of calcium which will obviously be very high as a result of Medullary Nephrocalcinosis . A uranalysis may also be done to expect for front of red blood cells and crystals for further confirming the diagnosing of Medullary Nephrocalcinosis .
How Is Medullary Nephrocalcinosis Treated?
Preventing further dethronement of calcium in the medullary part of the kidney is the primary concern for the treating physician . This will forbid declension of the condition . The next step towards treatment of Medullary Nephrocalcinosis is to identify the cause of the excess calcium deposits . Once a cause is name then discourse for that causa is begun right away to treat Medullary Nephrocalcinosis .
Bringing down the tier of calcium is another challenge for the physician which is done by government of isotonic sodium chloride which help in bringing down the tier of atomic number 20 in the rakehell . Potassium and magnesium supplementation along with diuretics and restriction of salt is yet another way to bring down the levels of calcium in the stock and treat Medullary Nephrocalcinosis .
In some cases , with the recognition of the crusade of Medullary Nephrocalcinosis and immediate treatment , the levels of Ca comes down by themselves thereby treating Medullary Nephrocalcinosis . In some cases where Medullary Nephrocalcinosis is get by nephritic tubelike acidosis the damage done to the kidney is essentially irreversible .
Thus , it is highly urge that an somebody demand to start immediate handling once a cause is name and the diagnosis is confirmed of Medullary Nephrocalcinosis .
References :
Radiopaedia . ( 2021 ) . Medullary Nephrocalcinosis.https://radiopaedia.org/articles/medullary-nephrocalcinosis
Medscape . ( 2021 ) . Nephrocalcinosis.https://emedicine.medscape.com/article/244907-overview
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