 |
|
CLINICIAN'S CORNER
A 44-Year-Old Woman With Kidney Stones
Gary C. Curhan, MD, ScD, Discussant
JAMA. 2005;293:1107-1114.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
INTRODUCTION
DR BURNS: Ms P is a 44-year-old woman with a history of morbid obesity and superficial thrombophlebitis who was diagnosed with kidney stones 1 month ago. She recently lost her medical insurance and is applying for free care. She is currently unemployed and lives with her daughter.
While on vacation in Jamaica, Ms P developed severe diarrhea without nausea, vomiting, or fever. After returning to the United States her diarrhea resolved, but she developed brown urine that lasted for several days. She subsequently developed bilateral intermittent low back pain that she treated with acetaminophen and ibuprofen with good relief. She denied any radiation of the pain or any associated weakness or numbness. She had no fever, dysuria, or urinary frequency. She never had similar symptoms in the past. She does not smoke and denies alcohol use.
Ms P contacted . . . [Full Text of this Article]
MS P: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR CURHAN
Epidemiology Pathophysiology Risk Factors Examination and Laboratory Findings Differential Diagnosis Evaluation of a First Stone Nonsurgical Treatment Options The Urologist’s Role and Surgical Treatment Selecting Treatment Options Prevention What Would You Recommend for Ms P?
QUESTIONS AND DISCUSSION
AUTHOR INFORMATION
Author Affiliation: Dr Curhan is Associate Professor of Medicine and Epidemiology, Harvard Medical School and Harvard School of Public Health, Boston, Mass. He divides his time between the Channing Laboratory and the Renal Division at Brigham and Women’s Hospital, Boston, Mass.
RELATED ARTICLE
Kidney Stones
Sarah Ringold, Tiffany J. Glass, and Richard M. Glass
JAMA. 2005;293(9):1158.
EXTRACT
| FULL TEXT
|
