A 45-year-old construction worker complained of excruciating intermittent pain i

Question

A 45-year-old construction worker complained of excruciating intermittent pain in the kidney area, radiating across the abdomen and into the genital area. He also had chills, fever, and nausea. He noticed increased frequency of urination and moderate hematuria. Pertinent 24-hour urinalysis findings indicated crystalline substances in the sediment identified as calcium in nature and a urinary calcium of 300 mg/day. X-ray findings indicated localized stones in the renal pelvis. This person was encouraged to increase his water intake to at least 1.0

Explanation / Answer

1.Idiopathic hypercalciuria is the presence of excess calcium in the urine without obvious cause. This condition can lead to kidney stones or osteoporosis. 2.Calculi are formed in the kidneys from dietary minerals in the urine.Dietary factors that increase the risk of stone formation include low fluid intake, and high dietary intake of animal protein, sodium, refined sugars, fructose and high fructose corn syrup, oxalate, grapefruit juice, apple juice, and cola drinks. 3.Yes. For example, high dietary sodium and Fluoridation of drinking water. 4.Stone size influences the rate of spontaneous stone passage. For example, up to 98% of small stones (less than 5 millimeters (0.20 in) in diameter) may pass spontaneously through urination. Other ways are Analgesia, Expulsion therapy, Surgical, Extracorporeal shock wave lithotripsy and Ureteroscopic surgery.

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