Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of recurrent nephrolithiasis. History significant for Medullary Sponge Kidney (MSK), confirmed via imaging. Reports episodes of colicky flank pain, hematuria, and occasional dysuria. No history of chronic kidney disease or hypertension. Denies fever or systemic symptoms.
Clinical Examination Findings
General: Patient appears in no acute distress. Vitals stable. Abdomen: Soft, non-distended, bowel sounds present. CVA tenderness: Present on [Right/Left/Bilateral] side, consistent with renal colic or associated nephrolithiasis. No palpable masses or organomegaly.
Treatment Protocol
Management plan: 1. Maintain high fluid intake (>2.5L/day) to prevent stone formation. 2. Dietary modifications: Low sodium, normal calcium intake, and restricted animal protein. 3. Pharmacotherapy: Thiazide diuretics if hypercalciuria is present; potassium citrate for hypocitraturia. 4. Regular monitoring of renal function and ultrasound/CT follow-up.