RENAL STONES-CALCIUM STONES MANAGEMENT

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SUMMARY

1. Citrate chelates calcium, thereby preventing stones.

2. Thiazide diuretics for hypercalciuria (decrease urinary calcium), decreasing dietary protein and sodium, giving potassium citrate, and treat high uric acid.

3. Do not decrease dietary calcium intake; this only increases oxaluria!


Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].