Stones: Evaluation and Medical Management: Difference between revisions
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*** '''Phosphate therapy is contraindicated in cases of infection calculi because this medication may promote further stone formation.''' | *** '''Phosphate therapy is contraindicated in cases of infection calculi because this medication may promote further stone formation.''' | ||
=== | === Medical management of pediatric calculi === | ||
* '''Neonates can develop furosemide-induced nephrolithiasis.''' | * '''Neonates can develop furosemide-induced nephrolithiasis.''' | ||
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* There is a lack of consensus regarding normal laboratory values during 24-hour urine collections in children. Clinicians have relied on ratios to correct for the wide variation of weight | * There is a lack of consensus regarding normal laboratory values during 24-hour urine collections in children. Clinicians have relied on ratios to correct for the wide variation of weight | ||
* '''The medical management of nephrolithiasis and the prevention of subsequent recurrences in children do not differ that dramatically from the approaches undertaken for adults''' | * '''The medical management of nephrolithiasis and the prevention of subsequent recurrences in children do not differ that dramatically from the approaches undertaken for adults''' | ||
== Questions == | |||
# What is the risk of stone recurrence at 10 years in first-time stone formers? | # What is the risk of stone recurrence at 10 years in first-time stone formers? | ||
# What is the microscopic appearance of common urinary calculi? | # What is the microscopic appearance of common urinary calculi? | ||
== Answers == | |||
1. 50% | 1. 50% | ||
== References == | |||
* Wein AJ, Kavoussi LR, Partin AW, Peters CA (eds): CAMPBELL-WALSH UROLOGY, ed 11. Philadelphia, Elsevier, 2015, chap 52 | * Wein AJ, Kavoussi LR, Partin AW, Peters CA (eds): CAMPBELL-WALSH UROLOGY, ed 11. Philadelphia, Elsevier, 2015, chap 52 | ||