Phys Clinical Cases · renal
Nephrolithiasis — DCE Clinical Case
DCE long-case and short-case clinical station for nephrolithiasis: comprehensive assessment of a 48-year-old man with Crohn disease and recurrent calcium oxalate stones from enteric hyperoxaluria, with chronic diarrhoea, hypocitraturia, and a counterproductive low-calcium diet. Covers the pathophysiology of enteric hyperoxaluria, the metabolic evaluation, the acute management of renal colic, the prevention strategy (normal calcium with meals, potassium citrate, low-oxalate low-fat diet), and the emergency of obstructive pyelonephritis. Plus branching discussions on primary hyperparathyroidism, struvite staghorn calculus, and the SUSPEND trial evidence for medical expulsive therapy.
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DCE long-case and short-case clinical station for nephrolithiasis: comprehensive assessment of a 48-year-old man with Crohn disease and recurrent calcium oxalate stones from enteric hyperoxaluria, with chronic diarrhoea, hypocitraturia, and a counterproductive low-calcium diet. Covers the pathophysiology of enteric hyperoxaluria, the metabolic evaluation, the acute management of renal colic, the prevention strategy (normal calcium with meals, potassium citrate, low-oxalate low-fat diet), and the emergency of obstructive pyelonephritis. Plus branching discussions on primary hyperparathyroidism, struvite staghorn calculus, and the SUSPEND trial evidence for medical expulsive therapy.
Nephrolithiasis — DCE Clinical Case
References7ShowHide
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