2018 AMI Online Salon

Staghorn Kidney Stone

Project Details

  • Artist(s):  David Ehlert
  • Contributors: Jared Travnicek, David Ehlert ; Seattle, Washington
  • Client: PWRFL Law
  • Copyright: © 2017 Cognition Studio Inc
  • Medium / software used: Adobe Photoshop, Adobe Illustrator, OsiriX, Zbrush, Maxon Cinema 4D
  • Final presentation format: Digital (e.g., PPT) and physical prop
  • Primary audience: Jury, Judge, Defense council

Project Description

This was a case of unfortunate events. The patient presented to the ER with 10/10 right flank pain, nausea, & vomiting. A CT + urine test revealed 2 right-sided kidney stones (staghorn, ureter stone) + leukocytes in the urine. These are clear signs of sepsis but she was sent home. An immediate follow-up with a urologist scheduled the patient for extracorporeal shock wave lithotripsy. Plaintiff’s experts attest an ESWL would have scattered the infection, killing her on the table. Unfortunately, the patient succumbed to sepsis the eve of the procedure. Note: The proper treatment protocol was a percutaneous nephrolithotomy + basket removal of the ureteral stone. Cognition’s challenge: weaving a compelling narrative leveraging patient data to generate 2D + 3D exhibits. The latter being a hand-painted print of the patient’s kidney stone to inform the audience of the patient’s time-sensitive situation. The case was settled in part because of the dynamic presentation Cognition helped build.