Stones: Evaluation and Medical Management: Difference between revisions

@@ Line 56: / Line 56: @@
 **Cost
-== Diagnosis and Evaluation of Stone Disease ==
+== Diagnosis and Evaluation of Metabolic Stone Disease ==
-* Any evaluation for recurrent stone disease should be able to identify associated metabolic disorders such as distal renal tubular acidosis (RTA), primary hyperparathyroidism, enteric hyperoxaluria, cystinuria, and gouty diathesis
+* '''Goals of evaluation'''
-*First-time stone formers have been estimated to have a 50% risk for recurrence within the subsequent 10 years
+**'''Identify potential associated metabolic disorders such as (5)'''
-** Patients at higher risk for repeat episodes:
+**#'''Distal renal tubular acidosis (RTA)'''
-*** Family history of stones
+**#'''Primary hyperparathyroidism'''
-*** Intestinal disease (particularly when causing chronic diarrheal states)
+**#'''Enteric hyperoxaluria'''
-*** Pathologic skeletal fractures
+**#'''Cystinuria'''
-*** Osteoporosis
+**#'''Gouty diathesis'''
-*** UTI
+**'''Reduce risk of stone recurrence'''
-*** Gout
+***First-time stone formers have been estimated to have a 50% risk for recurrence within the subsequent 10 years
+*** Patients at higher risk for repeat episodes:
+**** Family history of stones
+**** Intestinal disease (particularly when causing chronic diarrheal states)
+**** Pathologic skeletal fractures
+**** Osteoporosis
+**** UTI
+**** Gout
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