Every stone former needs fasting serum and 24 hour urine testing. Likewise important, kidney stone analysis and review of images – CT scans especially.
Medical evaluation is what physicians do. They integrate the testing with the history of stones and everything that can promote stones in any one patient.
Diagnosis is also what physicians do. It is the final synthesis and directs treatment.
I have used it also for the page on systemic causes of stones because I like it a lot.
24-Hour Urine Collections: Why and how – The basis for prevention, never omit them
How to Use Urine Supersaturations – What a given value means in terms of kidney stone risk
My Lab Report – A nifty self help guide
Kidney stone types – Full review of stone compositions and their meaning
Analyse every kidney stone – Evidence that stone type can change so treatment needs to change
Middle Age and Kidney Stones? Why Now? – A primer of special needs for these late comers
How to Count Kidney Stones – Prevention means fewer new stones; how do we know if we can’t count right?
Chapter 3: Coping with confusion – What to do when everything seems just confusing
How to be a successful kidney stone patient – Lists and hints to get the most out of your physician visits
Putting it all together – Full guide from first stone through follow up of your prevention
The five steps to kidney stone prevention – Step by step instructions on how to get evaluated
Treat the patient not just the stones – Stone formers are a risk for bone and kidney disease, and hypertension
Art of stone prevention – My personal style of stone prevention practice
Chapter 1: Personalized kidney stone prevention – Truly each patient is unique
Case 1: A stone former – How you integrate clinical history and labs to determine treatment
Case 2: A calcium oxalate stone former – A surprise lurked in this otherwise ‘easy’ case
CT papillary density may predict new stones – Any physician can make this measurement
Chapter 4: Who are you? – What are the main diagnosed causes of stones?
Idiopathic calcium oxalate stone formers – Calcium oxalate stones, systemic diseases have been excluded
Idiopathic calcium phosphate stone formers –Calcium phosphate stones, systemic diseases have been excluded
Chapter 8: Uric Acid Stones – Any uric acid in stones means this applies to you
Chapter 9: CYSTINURIA: An Introduction for Patients – Special treatment, inherited renal transport disorder
Chapter 7: Primary hyperparathyroidism – Not rare, diagnosed from blood and urine tests, curable
Distal Renal Tubular Acidosis – Rare disease, diagnosed from blood and urine tests
Chapter 10: Bariatric surgery and kidney stones – Obesity surgeries cause stones; special treatment needed
Medullary sponge kidney – Uncommon, over diagnosed, special treatment problems
Case 4: Medullary sponge kidney – For 24 years I missed the diagnosis
Case 5: Severe dietary hyperoxaluria – Massive hyperoxaluria reverted to normal with simple diet change
Chapter 11: Ileostomy and Kidney Stones – How ileostomy causes stones and how to prevent them