Nephrolithiasis

Questions discussed in this category

Do you periodically check a urine culture for patients without dysuria but who have a history of struvite kidney stones and urinary tract infections with urease producing organisms?

1 Answer available

Do you routinely perform in-office urine microscopy for your patients with recurrent nephrolithiasis?

1 Answer available

What are some considerations to make when managing patients with recurrent nephrolithiasis who are found to have nephrocalcinosis on imaging?

2 Answers available

Do you recommend obtaining a DEXA scan for patients with recurrent nephrolithiasis and hypercalciuria of unknown etiology?

2 Answers available

What is your approach to differentiating primary from secondary hyperparathyroidism in recurrent kidney stone formers who also have chronic kidney disease, an elevated PTH, and hypercalcemia?

1 Answer available

Do you routinely prescribe acetazolamide for patients with cystinuria who do not have significant urinary alkalinization or are intolerant to citrate therapy?

1 Answer available

What is your plasma oxalate target when treating patients with lumasiran for end stage kidney disease secondary to primary hyperoxaluria type 1?

1 Answer available

Do you routinely check a TSH level in patients with recurrent kidney stones who have hypercalciuria of unknown cause?

1 Answer available

What is your approach to recurrent uric acid stone formers who have a persistently acidic urine pH and are unable to tolerate potassium citrate?

1 Answer available

Do you have your patients with recurrent nephrolithiasis stop supplements such as turmeric?

1 Answer available

What is your approach to management of recurrent nephrolithiasis in patients with mixed composition uric acid and calcium phosphate stones?

3 Answers available

Would you prescribe a thiazide diuretic for patients with recurrent nephrolithiasis attributed to hypercalciuria in the setting of excess dietary sodium or animal protein intake who fail or are unwilling to adhere to recommended dietary changes?

1 Answer available

How has the introduction of lumasiran affected the need for combined liver and kidney transplantation in patients with ESKD related to primary hyperoxaluria type 1?

2 Answers available

For a patient with idiopathic hypercalciuria and a history of calcium kidney stones who has not normalized 24-hr urine calcium level on thiazide diuretic, is there evidence for targeting a certain urine calcium level for decreased future risk of nephrolithiasis and osteoporosis?

2 Answers available

What are your management strategies for patients with nephrolithiasis and hypercalciuria who have a severe sulfa drug allergy and are unable to tolerate thiazide diuretics?

1 Answer available

Are there other therapies such as SGLT2 inhibitors or alpha lipoic acid that you are offering your patients with cystinuria who continue to have active stone disease despite conservative therapy and thiol-based agents?

1 Answer available

Is there a role for cinacalcet suppression testing when evaluating patients for suspected primary hyperparathyroidism who also have recurrent calcium containing kidney stone disease?

1 Answer available

What approaches do you take for your patients with nephrolithiasis who undergo intermittent fasting for cultural, religious, or personal reasons?

1 Answer available

What is the current recommendation for using thiazide diuretics in patients with calcium oxalate stone disease, given the negative results of the NOSTONE trial?

4 Answers available

Does your treatment strategy differ when managing patients with recurrent calcium oxalate monohydrate versus calcium oxalate dihydrate stones?

2 Answers available

How do you advise patients with recurrent nephrolithiasis who also have chronic mild hyponatremia for which they limit daily fluid intake?

1 Answer available

Are there patients with recurrent nephrolithiasis for who you recommend magnesium supplementation to reduce stone risk?

1 Answer available

In which patients with nephrocalcinosis and an incomplete distal RTA would you consider further testing for medullary sponge kidney?

1 Answer available

How long do you wait before reassessing a 24 hour urine calcium level in patients with recurrent nephrolithiasis, hypercalciuria, and osteoporosis who are initiated on bisphosphonate therapy?

3 Answers available

Are there any special considerations when treating patients with recurrent nephrolithiasis who also have medullary sponge kidney?

1 Answer available

What are your management strategies for patients with recurrent uric acid nephrolithiasis and chronic kidney disease who have persistent hypocitraturia and acidic urine pH?

2 Answers available

How do you manage unintended hypercalciuria that results from an increase in dietary calcium intake as recommended to patients with recurrent calcium oxalate nephrolithiasis attributed to enteric hyperoxaluria?

1 Answer available

What is your approach to managing patients with recurrent nephrolithiasis who have 24 hour urine chemistry results that demonstrate low risk for stone formation but continue to experience stone events?

1 Answer available

Are there any instances when you use vitamin B6 to prevent kidney stones in patients with recurrent calcium oxalate nephrolithiasis who do not have primary hyperoxaluria?

1 Answer available

What is your approach to managing patients with recurrent ammonium urate kidney stones?

1 Answer available

For patients with kidney stone disease and chronic kidney disease, is there an eGFR threshold at which you no longer recommend pursing 24 hour urine stone risk studies?

2 Answers available

For patients with nephrolithiasis and hypercalciuria attributed to a parathyroid adenoma, how long after a partial parathyroidectomy do you assess for improvement in 24-hour urine calcium levels?

2 Answers available

How do you manage vitamin D dosing in patients with nephrolithiasis and hypercalciuria who require supplemental vitamin D for treating other medical conditions?

1 Answer available

What are your top takeaways from ASN 2023?

2 Answers available

What is your approach between choosing lumasiran or nedosiran for patients with primary hyperoxaluria type 1?

2 Answers available

Are there instances when you would recommend obtaining a 24 hour urine protein measurement in place of spot urine protein studies in patients with acute kidney injury and proteinuria?

1 Answer available

How do you approach prevention of kidney stones in patients with an ileal diversion and recurrent nephrolithiasis?

1 Answer available

Would you wait a period of time before collecting a 24 hour urine stone risk study in a patient with nephrolithiasis who recently underwent a urologic stone removal procedure?

1 Answer available

Do you avoid losartan in patients with hypertension and uric acid nephrolithiasis due to the drugs uricosuric effects?

1 Answer available

What is your preferred method for diagnosing adenine phosphoribosyltransferase (APRT) deficiency in a patient with recurrent kidney stones and abnormal crystalluria?

2 Answers available

Do you recommend obtaining 24 hour urine ammonium levels in patients with recurrent uric acid nephrolithiasis?

1 Answer available

Do you recommend dietary changes to your patients with recurrent kidney stone disease who consume coffee and low oxalate teas daily?

3 Answers available

How would you manage a patient with recurrent calcium phosphate nephrolithiasis who has hypercalciuria, hypocitraturia, and a urine pH greater than 6.3?

1 Answer available

How long do you continue a thiazide diuretic in a patient with nephrolithiasis and hypercalciuria who achieves normalization of urinary calcium excretion following therapy initiation?

2 Answers available

How often do you monitor labs such as complete blood count, liver function panel, and urine protein in a patient with cystinuria receiving tiopronin?

1 Answer available

What is your preferred therapy to raise urinary citrate in a patient with recurrent calcium based stone disease and hypocitraturia?

1 Answer available

What is your approach to elevated urine uric acid levels in a recurrent calcium based stone former?

2 Answers available

Do you use 24 hour urine stone risk profiles for purposes other than managing nephrolithiasis?

2 Answers available

Do you recommend obtaining one or two 24-hour urine stone risk profile(s) when evaluating patients with nephrolithiasis?

Parks et al., PMID 11912373

3 Answers available

When would you recommend adding peritoneal dialysis to a patient with oxalosis who is already receiving hemodialysis?

1 Answer available

What is your approach to the medical management of struvite kidney stones?

1 Answer available

How do you advise your kidney stone patients about optimal daily fluid intake?

1 Answer available

How frequently do you obtain 24 hour urine stone risk profiles in your patients with kidney stone disease who pass less than one stone per year?

1 Answer available

In which patients do you obtain genetic testing for further evaluation of kidney stone disease?

1 Answer available

What dietary advice do you provide your patients with calcium oxalate nephrolithiasis?

1 Answer available

Papers discussed in this category

N Engl J Med, 2023 Mar 02

Hydrochlorothiazide and Prevention of Kidney-Stone Recurrence.

American journal of nephrology, 2014

Oxalate quantification in hemodialysate to assess dialysis adequacy for primary hyperoxaluria.

Clinical journal of the American Society of Nephrology : CJASN, 2017-08-07

Low Bone Density and Bisphosphonate Use and the Risk of Kidney Stones.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023 Feb 13

Isolated kidney transplantation under lumasiran therapy in primary hyperoxaluria type 1: a report of five cases.

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