Jan24 M1-Nephrolithiasis Flashcards
1
Q
indications for urology consultation for emergent decompression (5)
A
- obstructing renal stone with infection
- impending renal deterioration/failure
- pain refractory to analgesics
- intractable nausea/vomiting
- patient preference (multiple emergency visits)
2
Q
principle on obstructions anywhere in the body
A
if obstruction + infection, antibiotics won’t help. you must relieve the infection
3
Q
when to refer to nephrology for detailed metabolic stone work-up
A
- recurrent or multiple
- pregnancy
- children
- non-calcium stones
- family history
- renal insufficiency
- systemic disease
- solitary kidney/anat problem
- critical occupations (ex. pilot)
4
Q
6 dietary modifications for Ca kidney stone formers
A
- more fluid
- less salt (2.3g -)
- less animal protein
- moderate Ca intake
- moderate oxalate intake
- more citrate rich fluids
