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Re: History of renallithiasis From: Anna Meenan, MD (annam@uic.edu) Mon Apr 4 12:54:59 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: A Pope Like No Other - long" Previous message: OBGYN.net: "World Congress on Endometriosis, 14 - 17 September 2005" In reply to: Henry Gregor: "History of renallithiasis" Should have serum Ca, P04, uric acid, BUN/Cr. At the very least a 24-hour urine calcium, phosphorus, uric acid, oxalate, and citrate. Calcium restriction in diet not necessary and not useful. Much more useful dietary changes would include increased fluids til voiding at least 2 liters a day, decrease animal protein intake, decrease oxalate intake. Can use thiazide diuretics to lower urinary calcium levels. If she needs to take calcium supplements, use calcium citrate instead of calcium carbonate. If she takes HCTZ and becomes K deficient, use Kcitrate instead of KCl for replacement. -- Anna Meenan, MD At Fri, 1 Apr 2005, Henry Gregor wrote: > >A fortyone year old patient presents for routine gyn assessment and health maintenace counseling, with a hx of stones time two, which she says were reported to her as calcium stones on past analysis. No hx of parathyroid screening, Unknown hx of wether her serum calcium has been normal or not. Any thoughts re how to counsel her re calcium intakeor screenint tests? She is caucasian, fair complected, 5'5", 142 #, nonsmoker, nondrinker, without other family members with stones. > >Thanks, > >Hank Next message: Anna Meenan, MD: "Re: A Pope Like No Other - long" Previous message: OBGYN.net: "World Congress on Endometriosis, 14 - 17 September 2005" In reply to: Henry Gregor: "History of renallithiasis"

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