Calculus Health Dictionary

Calculus: From 4 Different Sources


A deposit on the teeth (see calculus, dental) or a small, hard, crystalline mass that is formed in a body cavity from certain substances in fluids such as bile, urine, or saliva. Calculi can occur in the gallbladder and bile ducts (see gallstones), the kidneys, ureters, or bladder (see calculus, urinary tract), or in the salivary ducts.
Health Source: BMA Medical Dictionary
Author: The British Medical Association
A concretion formed in any part of the body usually compounds of salts of organic or inorganic acids
Health Source: Medicinal Plants Glossary
Author: Health Dictionary
n. (pl. calculi) 1. a stone: a hard pebble-like mass formed within the body, particularly in the gall bladder (see gallstone) or anywhere in the urinary tract (see cystolithiasis; nephrolithiasis; staghorn calculus). Calculi in the urinary tract are commonly composed of calcium oxalate and are usually visible on X-ray examination. Some of these stones cause pain if they are associated with obstruction and prevent urine flow in the ureter or kidney, or by direct irritation of the bladder. Stones passing down a duct (such as the ureter) cause severe colicky pain. Most stones pass spontaneously, but some need to be broken into smaller pieces, usually by extracorporeal *lithotripsy, and the remainder by endosurgical techniques (see litholapaxy) or rarely by open surgery. Calculi may also occur in the ducts of the salivary glands. 2. a calcified deposit that forms on the surface of a tooth that is covered with dental *plaque as a result of poor oral hygiene. Supragingival calculus forms above the *gingivae (gums), principally in relation to the openings of the salivary gland ducts. Subgingival calculus forms beneath the crest of the gingivae. Calculus hinders the cleaning of teeth and its presence contributes to *gingivitis and *periodontal disease. A link has been demonstrated between increased calculus levels and infective *endocarditis.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin
a solid pathological concentration (or ‘stone’), usually of inorganic matter in a matrix of protein and pigment, formed in any part of the body.
Health Source: The Encyclopedia of Essential Oils
Author: Julia Lawless

Staghorn Calculus

A branched renal stone formed in the image of the collecting system of the kidney (see KIDNEYS). It ?lls the calyces and pelvis and is commonly associated with an infection of the urine, particularly Proteus vulgaris. The calculus may lead to pyonephrosis and an ABSCESS of the kidney.... staghorn calculus

Calculus, Dental

A hard, crust-like deposit (also known as tartar) found on the crowns and roots of the teeth. Calculus forms when mineral salts in saliva are deposited in existing plaque. Supragingival calculus is a yellowish or white deposit that forms above the gum margin, on the crowns of teeth near the openings of salivary gland ducts. Subgingival calculus forms below the gum margin and is brown or black. Toxins in calculus cause gum inflammation (see gingivitis), which may progress to destruction of the supporting tissues (see periodontitis). Calculus is removed by professional scaling. Attention to oral hygiene reduces recurrence.... calculus, dental

Calculus, Urinary Tract

A stone in the kidneys, ureters, or bladder formed from substances in urine.

Most urinary tract stones are composed of calcium oxalate or other salts crystallized from the urine. These may be associated with a diet rich in oxalic acid (found in leafy vegetables and coffee); high levels of calcium in the blood as a result of hyperparathyroidism; or chronic dehydration. Other types of stone are associated with gout and some cancers. An infective stone is usually a result of chronic urinary tract infection.

In developing countries, bladder stones usually occur as a result of dietary deficiencies. In developed countries, they are usually caused by an obstruction to urine flow from the bladder and/or a longstanding urinary tract infection.

The most common symptom of a stone in the kidney or ureter is renal colic (a severe pain in the loin) that may cause nausea and vomiting. There may be haematuria (blood in the urine). A bladder stone is usually indicated by difficulty in passing urine. The site of the stone can usually be confirmed by intravenous or retrograde urography.

Renal colic is treated with bed rest and an opioid analgesic (painkiller).

With an adequate fluid intake, small stones are usually passed in the urine without problems.

The first line of treatment for larger stones is lithotripsy, which uses ultrasonic or shock waves to disintegrate the stones.

Alternatively, cytoscopy can be used to crush and remove stones in the bladder and lower ureter.

In some cases, surgery may be needed.... calculus, urinary tract




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