questionORAMA....STONES.

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

questionORAMA....STONES.

Author

7 Posts

noelle
Forum Elite

Topics: 59
Posts: 226

02/17/05 - 10:54 PM

pt of hypercalcemia coz of hyperparatyroidism or any cause of increased ca. + renal stones .... how to manage...

can u give thiazides or frusemide??? if thiazides they increase blood ca....>>>> stones

if frusemide>>> INCREASE excretion >>> stones!! hmmmm ... HELP GUYS!!

___________________
only strong survive......

liiAmra
Forum Newbie

Topics: 4
Posts: 14

02/17/05 - 11:04 PM

I knew that for stones you use loop diaretics. LOOPS LOOSE CALCIUM>>>>LESS STONES ...dont use thiazides

mash
Forum Fanatic

Topics: 147
Posts: 1,326

02/18/05 - 07:52 AM

thiazides reabsorb calcium-->hypercalcemia
they decrease urinary ca so, do not cause stones

thiazides are used in pts with hypercalciuria with ca oxalate stones

loop diuretics increase ca excretion so, --->hypercalciuria--->stone formation

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

noelle
Forum Elite

Topics: 59
Posts: 226

02/18/05 - 10:04 AM

but pt with ^ca in blood>>>>stones no? so thiazides wont do it??

___________________
only strong survive......

ELM
Forum Guru

Topics: 28
Posts: 936

02/18/05 - 10:07 AM

If it's that bad do surgery and take the darn gland out. :lol:

___________________
ELM

noelle
Forum Elite

Topics: 59
Posts: 226

02/20/05 - 04:54 PM

:lol: u sound like an aggressive surgeon!!

___________________
only strong survive......

dev
Forum Guru
avatar

Topics: 70
Posts: 1,794

02/21/05 - 09:41 PM

thats gud answer.
deepikamohan

You don't have permission to post.