Renal/Urinary

Question 1

Patients with recurrent kidney stone require what steps in management?

Answer 1

Collection of stone and eval for type of stone + 24hr urine to determine what abnormalities are in the urine (depending on what’s in the urine determines pharm therapy)

Question 2

24hr urine collection for kidney stone reveals high calcium and low citrate.

What is the tx of choice?

Answer 2

Reduce intake of non-dairy animal meat, spinach, rhubarb, potatoes, peanuts, cashews, almonds

Thiazide diuretics
-lower urinary calcium if HIGH calcium

Potassium citrate/bicarb
- the citrate will help prevent more stones

Question 3

Steps in management having exacerbation of BPH?

Answer 3

1. PE for symptoms of bladder retention
2. Bladder US to assess cc 300+
3. In-and-out catheter if 300cc+
4. Make sure pt is on 5 alpha reductase inhibitor and alpha blocker