Kidney Stones - What's the diagnosis?
Volume, Liters
|
0.71
|
Sodium, mmol/day
|
7
|
Supersaturation Calcium Oxalate
|
10.11
|
Potassium, mmol/day
|
45
|
Calcium, mg/day
|
78
|
Magnesium, mg/day
|
52
|
Oxalate, mg/day
|
28
|
Phosphate, mg/day
|
0.76
|
Citrate, mg/day
|
11
|
NH4, mmol/day
|
68
|
Supersaturation Calcium Phosphate
|
0.71
|
Chloride, mmol/day
|
48
|
Urine pH
|
5.6
|
Sulphate, mEq/day
|
39
|
Supersaturation Uric Acid
|
2.71
|
Urea Nitrogen, g/day
|
11
|
Uric Acid, mg/day
|
0.499
|
Protein Catabolic Rate
|
1.2
|
Creatinine
|
1292
|
He has a high risk for calcium oxalate and uric acid stones. His urine citrate and sodium are remarkably low and he has a very low urine volume. His BP in the clinic was normal as were his labs apart from a serum creatinine of 1.3mg/dl
What is the underlying diagnosis (an important piece has been left out of his background history)?
What is the best approach to treating his kidney stones?
Answers in the comments please (if this proves popular we may make it a regular feature).
Source: http://renalfellow.blogspot.com/2013/07/kidney-stones-whats-diagnosis.html
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