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Nephrolithiasis — Detailed History and Physical — Clinical Pathway: Outpatient Specialty Care

Nephrolithiasis Clinical Pathway — Outpatient Specialty Care

Detailed History and Physical Examination

Diet
  • Ketogenic
  • Atkins
  • Vitamin C or D
  • Mineral supplements
Medications
  • Lasix
  • Calcitriol
  • Topamax
  • Anti-retrovirals
  • Steroids
  • Acetazolamide
  • Zonisamide
Family History
  • Stones or kidney failure
PMH
  • Bone disease or rickets
  • Neuromuscular disease
  • Bladder exstrophy
  • Myelomeningocele
  • inflammatory bowel disease
  • Cystic fibrosis
  • Gout
  • Deafness
  • Failure to thrive
  • Prematurity/small for gestational age
  • Seizure disorder
  • Immobility
  • Cerebral palsy
  • Spina bifida
  • Nephrectomy/single kidney
  • Hydration status
  • Salt, potassium intake
Physical Examination
  • VS, BP
  • Growth parameters
  • CVA tenderness
  • Abdominal tenderness, mass
  • Edema

Review Laboratory Studies and Imaging

Consult Nephrology for interpretation of abnormal results

 

 

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