Metabolism Flashcards
recurrent precipitation of hexagonal cystine stone
Cysteinurea
What is the etiology of a disease that causes recurrent precipitation of hexagonal cystine stone:
Hereditary defect of renal PCT and intestinal amino acid transporter that prevents reabsorption of Cystine, Ornithine, Lysine, and Arginine (COLA).
How would you diagnose a dz that recurrent precipitation of hexagonal cystine stone
Urinary cyanide-nitroprusside test is diagnostic.
How would yuou diagnose a dz that results in recurrent precipitation of hexagonal cystine stone
Treatment: urinary alkalinization (eg, potassium citrate, acetazolamide) and chelating agents (eg, penicillamine)solubility of cystine stones; good hydration.
Lab findings for kidney stones composed of cystein
Faintly radi- opaque