Abstract
Evaluation and management of the patient with kidney stones of unknown composition present a difficult challenge to the clinician. In the event that a stone cannot be obtained for analysis, the work-up should include a targeted dietary and medical history with attention to comorbid conditions and vitamin supplements. Abdominal imaging and 24-hour urine collection add important information to the diagnostic evaluation to narrow the differential. Once a treatment plan is determined, regular laboratory and imaging surveillance is necessary to ensure that dietary and medication changes effectively reduce the risk of recurrent stone formation.
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References
Singh P, Enders FT, Vaughan LE, Bergstralh EJ, Knoedler JJ, Krambeck AE, et al. Stone composition among first-time symptomatic kidney stone formers in the community. Mayo Clin Proc. 2015;90(10):1356–65.
Coe FL, Evan A, Worcester E. Kidney stone disease. J Clin Invest. 2005;115:2598–608.
Cameron A, Sakhaee K. Uric acid nephrolithiasis. Urol Clin North Am. 2007;34:335–46.
Nakada SY, Hoff DG, Attai S, Heisey D, Blankenbaker D, Pozniak M. Determination of stone composition by noncontrast spiral computed tomography in the clinical setting. Urology. 2000;55(6):816–9.
Parks JH, Coward M, Coe FL. Correspondence between stone composition and urine supersaturation in nephrolithiasis. Kidney Int. 1997;51(3):894–900.
Curhan GC, Willett WC, Rimm EB, Stampfer MJ. A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. N Engl J Med. 1993;328(12):833–8.
Borghi L, Schianchi T, Meschi T, Guerra A, Allegri F, Maggiore U, Novarini A. Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria. N Engl J Med. 2002;346:77–84.
Domrongkitchaiporn S, Sopassathit W, Stitchantrakul W, Prapaipanich S, Ingsathit A, Rajatanavin R. Schedule of taking calcium supplement and the risk of nephrolithiasis. Kidney Int. 2004;65(5):1835–41.
Parks JH, Coe FL. A urinary calcium-citrate index for the evaluation of nephrolithiasis. Kidney Int. 1986;30(1):85–90.
Curhan GC, Taylor EN. 24-h uric acid excretion and the risk of kidney stones. Kidney Int. 2008;73(4):489–96.
Taylor EN, Curhan GC. Diagnosis and management of stone disease. Nephrol Rounds. 2006;4(1):1–6.
Pearle MS, Goldfarb DS, Assimos DG, Curhan G, Denu-Ciocca CJ, Matlaga BR, Monga M, Penniston KL, Preminger GM, Turk TMT, White JR. Medical management of kidney stones: AUA guideline. J Urol. 2014;192:316–24.
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Kerns, E.S., Ralto, K., Segal, A.M. (2019). Medical Management of Unknown Stone Types. In: Han, H., Mutter, W., Nasser, S. (eds) Nutritional and Medical Management of Kidney Stones. Nutrition and Health. Humana, Cham. https://doi.org/10.1007/978-3-030-15534-6_13
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DOI: https://doi.org/10.1007/978-3-030-15534-6_13
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