Medical management of stones diseases Case 1. A 65-year-old - TopicsExpress

Medical management of stones diseases Case 1. A 65-year-old African American female with an 8- year history of recurrent stone formation reports having spontaneously passed 35 stones. She has required 3 ureteroscopic laser stone fragmentations and 1 percutaneous nephrolithotripsy. Current radiographs reveal 3 small stones in the left intra renal collecting system and 2 in the right. This patient’s medical history is significant for inflammatory bowel disease. There is a family history of nephrolithiasis in one sibling. 24-hour Urine Collections Normal Range Initial Visit Vol >2,000 mL/d 1,320 pH 5.5 –6.7 5.51 Calcium

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