09-29-2007, 09:29 AM
A 31-year-old man comes to his physician's office two weeks after being seen in the emergency room for acute nephrolithiasis. He passed his stone in the emergency room and he reports that it was made of calcium oxalate. He is concerned about recurrences, as the pain was very severe. Which of the following is the most appropriate next step in management?
A. Initiation of thiazide diuretic therapy
B. Initiation of loop diuretic therapy
C. Initiation of allopurinol therapy
D. Maintenance of an alkaline urine
E. Maintenance of large urine volumes via copious water consumption
A. Initiation of thiazide diuretic therapy
B. Initiation of loop diuretic therapy
C. Initiation of allopurinol therapy
D. Maintenance of an alkaline urine
E. Maintenance of large urine volumes via copious water consumption