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diagnosis differential causes nephrology algorithm management kidney nephrolithiasis oxalate pediatrics stones abnormal agxt calcium calciumoxalate caox cardiology cardiomyopathy chronic ckd
Primary Hyperoxaluria - Diagnosis and Management Overview Matthew Ho, MD PhD @MatthewHoMD #Primary #Hyperoxaluria #Types #classification #diagnosis #management
Primary Hyperoxaluria ... MatthewHoMD #Primary #Hyperoxaluria
Oxalate & Secondary Hyperoxaluria (1) High-oxalate diet (eg spinach, rhubarb) (2) Fat malabsorption (IBD, s/p RYGB) (3) Alterations in
Oxalate & Secondary Hyperoxaluria ... BrighamChiefs #Oxalate #Hyperoxaluria
Primary Hyperoxaluria - A radiograph of the abdomen showed stones in the kidneys, bladder, and left
Primary Hyperoxaluria ... Radiology #urology #Hyperoxaluria
Calcium Oxalate (CaOx) Stone Diet • All - Increase Water Intake • Relative Hypercalciuria
Proteins • Relative Hyperoxaluria ... d) • Enteric Hyperoxaluria
Metabolic Causes of Kidney Stones in Children • Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Oxalate: Primary Hyperoxaluria ... 1-3, Secondary Hyperoxaluria
Causes of Nephrolithiasis - Differential Diagnosis Algorithm Radio-opaque - Calcium-containing - 90% of stones Radiolucent - Non-calcium 10%
protein intake Hyperoxaluria
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Multiple myeloma • Hyperoxaluria
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Sarcoidosis, Primary Hyperoxaluria
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Rx: • PRIMARY HYPEROXALURIA
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Phosphaturia, Hyperoxalirua
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