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A 50-Year-Old Man Comes to the Emergency Department Due to Sudden

question 1459

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A 50-year-old man comes to the emergency department due to sudden onset of severe, colicky pain in the right flank.  He was admitted twice previously for similar symptoms.  On both occasions, the patient was managed conservatively and sent home.  He has no other medical problems and no history of urinary infections.  He usually eats precooked food from a local store and has a soda with each meal.  The patient does not use tobacco, alcohol, or illicit drugs.  His vital signs are stable.  He is given intravenous fluids and pain medications.  Laboratory results are as follows: A 50-year-old man comes to the emergency department due to sudden onset of severe, colicky pain in the right flank.  He was admitted twice previously for similar symptoms.  On both occasions, the patient was managed conservatively and sent home.  He has no other medical problems and no history of urinary infections.  He usually eats precooked food from a local store and has a soda with each meal.  The patient does not use tobacco, alcohol, or illicit drugs.  His vital signs are stable.  He is given intravenous fluids and pain medications.  Laboratory results are as follows:   CT scan of the abdomen without contrast reveals renal calculi.  Urinalysis shows moderate levels of blood and calcium oxalate crystals.  Which of the following is the best recommendation for the prevention of future stones in this patient? A) Calcium supplements B) Decreased dietary calcium intake C) Decreased potassium intake D) High dietary animal protein E) High doses of vitamin C F) High-fructose diet G) Limited sodium intake H) Low-fat diet CT scan of the abdomen without contrast reveals renal calculi.  Urinalysis shows moderate levels of blood and calcium oxalate crystals.  Which of the following is the best recommendation for the prevention of future stones in this patient?


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