Stones: Evaluation and Medical Management: Difference between revisions
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**** '''Pyridoxine (vitamin B6) deficiency supplementation is recommended''' | **** '''Pyridoxine (vitamin B6) deficiency supplementation is recommended''' | ||
===Infection/Struvite stones=== | ===Infection/Struvite stones=== | ||
*'''The preferred management of struvite calculi involves aggressive surgical approaches''' | *'''<span style="color:#ff0000">The preferred management of struvite calculi involves aggressive surgical approaches''' | ||
**'''The medical management of infection calculi centers on the prevention of recurrence, rather than medical dissolution.''' | **'''The medical management of infection calculi centers on the prevention of recurrence, rather than medical dissolution.''' | ||
*'''<span style="color:#ff0000">Acetohydroxamic acid (AHA) may be offered to patients with residual or recurrent struvite stones only after surgical options have been exhausted.</span>''' | *'''<span style="color:#ff0000">Acetohydroxamic acid (AHA) may be offered to patients with residual or recurrent struvite stones only after surgical options have been exhausted.</span>''' | ||
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** '''An effective, first-line therapy for mild-moderate hypercalciuria''' | ** '''An effective, first-line therapy for mild-moderate hypercalciuria''' | ||
*** Thought to have a protective role in preventing nephrolithiasis by decreasing urinary calcium and oxalate excretion through alteration of prostaglandin metabolism | *** Thought to have a protective role in preventing nephrolithiasis by decreasing urinary calcium and oxalate excretion through alteration of prostaglandin metabolism | ||
* '''Hyperparathyroidism complicated by stone disease | * '''Hyperparathyroidism complicated by stone disease''' | ||
**'''Best treated with surgical excision of the adenoma''' | |||
* '''Enteric hyperoxaluria''' | * '''Enteric hyperoxaluria''' | ||
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== Questions == | == Questions == | ||
# What | # What are lifestyle changes a patient could make to reduce risk of stone recurrence? | ||
# What | #What are side effects related to thiazides? | ||
== Answers == | == Answers == | ||
#What are lifestyle changes a patient could make to reduce risk of stone recurrence? | |||
#What are side effects related to thiazides? | |||
== Next Chapter: [[Stones: Surgical Modalities for Management of Upper Urinary Tract Calculi|Surgical Modalities for Management of Upper Urinary Tract Calculi]] == | == Next Chapter: [[Stones: Surgical Modalities for Management of Upper Urinary Tract Calculi|Surgical Modalities for Management of Upper Urinary Tract Calculi]] == | ||