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Advances in Kidney Disease and Health
Kidney stone prevalence is rapidly increasing worldwide, and decreasing stone growth and recurrence is critical to reducing morbidity. Preventative approaches vary with kidney stone type, so knowledge of stone composition and a thorough history and metabolic evaluation are necessary to individualize therapy.
Megan L. Prochaska, Anna L. Zisman
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Kidney stone prevalence is rapidly increasing worldwide, and decreasing stone growth and recurrence is critical to reducing morbidity. Preventative approaches vary with kidney stone type, so knowledge of stone composition and a thorough history and metabolic evaluation are necessary to individualize therapy.
Megan L. Prochaska, Anna L. Zisman
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Current Diabetes Reports, 2007
Type 2 diabetes is associated with an increased risk of nephrolithiasis, specifically in the form of uric acid (UA) nephrolithiasis. Diabetic patients who produce uric stones exhibit a low urine pH, the key factor of UA crystallization. Production of such acidic urine appears to result from the insulin-resistant state characteristic of diabetes ...
Michel, Daudon, Paul, Jungers
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Type 2 diabetes is associated with an increased risk of nephrolithiasis, specifically in the form of uric acid (UA) nephrolithiasis. Diabetic patients who produce uric stones exhibit a low urine pH, the key factor of UA crystallization. Production of such acidic urine appears to result from the insulin-resistant state characteristic of diabetes ...
Michel, Daudon, Paul, Jungers
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Emergency Medicine Clinics of North America, 1988
The management of the patient presenting to the Emergency Department with nephrolithiasis or renal colic should include evaluation of the patient for concurrent diseases, risk factors for stone formation, and possible etiologies for stones. Suspicion of ureterolithiasis is based on a cogent history and physical examination and reinforced by a finding ...
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The management of the patient presenting to the Emergency Department with nephrolithiasis or renal colic should include evaluation of the patient for concurrent diseases, risk factors for stone formation, and possible etiologies for stones. Suspicion of ureterolithiasis is based on a cogent history and physical examination and reinforced by a finding ...
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Advances in Chronic Kidney Disease, 2011
Similar to adults, stone disease in the pediatric patient may present clinically as flank/abdominal pain or hematuria. Unlike in adults, pediatric stone disease is less frequent and is often associated with an underlying metabolic disorder. Because of the 50% likelihood of finding an underlying metabolic cause for stone formation in younger children, a
Rudolph P, Valentini +1 more
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Similar to adults, stone disease in the pediatric patient may present clinically as flank/abdominal pain or hematuria. Unlike in adults, pediatric stone disease is less frequent and is often associated with an underlying metabolic disorder. Because of the 50% likelihood of finding an underlying metabolic cause for stone formation in younger children, a
Rudolph P, Valentini +1 more
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Metaphylaxis of Nephrolithiasis
Urologia Internationalis, 2007The introduction of extracorporeal shockwave lithotripsy (ESWL), with its noninvasive removal of stones and considerable reduction in the morbidity of stone disease, has revolutionized the therapy of urolithiasis. Unfortunately the propensity for stone recurrence is not altered by removal of stones with ESWL and stone recurrence is still about 50 ...
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Military Medicine, 1989
A 59-year-old white male presented with a triamterene renal stone and pyelonephritis, requiring percutaneous lithotomy. A combination of hydrochlorothiazide and triamterene had been previously prescribed despite no history of hypokalemia. The indications for potassium replacement therapy and risks of triamterene nephrolithiasis are reviewed.
D P, Dooley, M E, Callsen, J A, Geiling
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A 59-year-old white male presented with a triamterene renal stone and pyelonephritis, requiring percutaneous lithotomy. A combination of hydrochlorothiazide and triamterene had been previously prescribed despite no history of hypokalemia. The indications for potassium replacement therapy and risks of triamterene nephrolithiasis are reviewed.
D P, Dooley, M E, Callsen, J A, Geiling
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Current Opinion in Nephrology and Hypertension, 2018
The greatest risk factor for kidney stone formation is increased urinary calcium excretion. Most filtered calcium is reabsorbed from the proximal tubule and the thick ascending limb (TAL) of Henle's loop via a paracellular pathway. Claudins are tight junction proteins that confer the permeability properties of an epithelium.
Allein, Plain, R Todd, Alexander
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The greatest risk factor for kidney stone formation is increased urinary calcium excretion. Most filtered calcium is reabsorbed from the proximal tubule and the thick ascending limb (TAL) of Henle's loop via a paracellular pathway. Claudins are tight junction proteins that confer the permeability properties of an epithelium.
Allein, Plain, R Todd, Alexander
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Current Opinion in Nephrology and Hypertension, 2001
The high incidence of recurrence after an initial stone event underscores the need for an effective medical prophylactic program. Dietary modification and drug therapies have long been advocated to reduce the likelihood of stone recurrence. While the efficacy of a high fluid intake has been validated in a randomized trial, the benefit of other dietary ...
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The high incidence of recurrence after an initial stone event underscores the need for an effective medical prophylactic program. Dietary modification and drug therapies have long been advocated to reduce the likelihood of stone recurrence. While the efficacy of a high fluid intake has been validated in a randomized trial, the benefit of other dietary ...
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Pediatrics in Review, 2004
1. Robert S. Gillespie, MD, MPH* 2. F. Bruder Stapleton, MD† 1. *Senior Fellow, Pediatric Nephrology 2. †Ford/Morgan Professor and Chair, Department of Pediatrics, University of Washington School of Medicine; Pediatrician-in-Chief, Children’s Hospital and Regional Medical Center, Seattle, WA After completing this article, readers should be ...
Robert S, Gillespie, F Bruder, Stapleton
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1. Robert S. Gillespie, MD, MPH* 2. F. Bruder Stapleton, MD† 1. *Senior Fellow, Pediatric Nephrology 2. †Ford/Morgan Professor and Chair, Department of Pediatrics, University of Washington School of Medicine; Pediatrician-in-Chief, Children’s Hospital and Regional Medical Center, Seattle, WA After completing this article, readers should be ...
Robert S, Gillespie, F Bruder, Stapleton
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Current Opinion in Urology, 2004
Urolithiasis during pregnancy is not common, however, it is a difficult condition to both diagnose and treat. There are many safety concerns that must be considered for both the mother and fetus. In this review we detail the different options available to the urologist and we highlight a treatment algorithm that we use when faced with a pregnant ...
Sarah J, McAleer, Kevin R, Loughlin
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Urolithiasis during pregnancy is not common, however, it is a difficult condition to both diagnose and treat. There are many safety concerns that must be considered for both the mother and fetus. In this review we detail the different options available to the urologist and we highlight a treatment algorithm that we use when faced with a pregnant ...
Sarah J, McAleer, Kevin R, Loughlin
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