Medical management of common urinary calculi.
Nephrolithiasis is a common condition affecting nearly 5 percent of U.S. men and women during their lifetimes. Recurrent calculi can be prevented in most patients by the use of a simplified evaluation, reasonable dietary and fluid recommendations, and directed pharmacologic intervention. Serum studi...
| Published in: | American Family Physician Vol. 74; no. 1; pp. 86 - 100 |
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| Main Authors: | , |
| Format: | algorithm CEU consumer/patient teaching materials diagnostic images exam questions pictorial tables/charts Journal Article |
| Published: |
American Academy of Family Physicians
7/1/2006
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106224934&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106224934 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0002838X AFP jtl: American Family Physician issn: 0002838X maglogo: N pubinfo: dt: 7/1/2006 vid: 74 iid: 1 pid: 1008 pub: American Academy of Family Physicians place: Skokie, Illinois artinfo: ui: 106224934 106224934 2009241146 NLM16848382 106224934 ppf: 86 ppct: 14 formats: tig: atl: Medical management of common urinary calculi. aug: au: Pietrow PK Karellas ME affil: University of Kansas Medical Center, Kansas City, Kansas sug: subj: Urinary Calculi Diagnosis, Differential Education, Continuing (Credit) Patient Education Tomography, X-Ray Computed Urinary Calculi Diagnosis Urinary Calculi Epidemiology Urinary Calculi Etiology Urinary Calculi Physiopathology Urinary Calculi Prevention and Control Urinary Calculi Radiography Urinary Calculi Risk Factors Urinary Calculi Therapy ab: Nephrolithiasis is a common condition affecting nearly 5 percent of U.S. men and women during their lifetimes. Recurrent calculi can be prevented in most patients by the use of a simplified evaluation, reasonable dietary and fluid recommendations, and directed pharmacologic intervention. Serum studies and 24-hour urine collections are the mainstays of metabolic investigation and usually are warranted in patients with recurrent calculi. Although some stones are the result of inherited conditions, most result from a complex interaction between diet, fluid habits, and genetic predisposition. Calcium-sparing diuretics such as thiazides often are used to treat hypercalciuria. Citrate medications increase levels of this naturally occurring stone inhibitor. Allopurinol can be helpful in patients with hyperuricosuria, and urease inhibitors can help break the cycle of infectious calculi. Aggressive fluid intake and moderated intake of salt, calcium, and meat are recommended for most patients. pubtype: Academic Journal doctype: algorithm CEU consumer/patient teaching materials diagnostic images exam questions pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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