Approach to the patient with the first episode of nephrolithiasis

Mary Ann Cameron, Charles Y C Pak

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


Nephrolithiasis is very common. It typically presents with a single episode of renal colic and may not recur. There are patients, however, who are at risk for recurring stone disease after the first episode. Such patients are identified from family history, personal medical history, and urinary and stone analysis. Identification of secondary causes is the key to this differentiation. Medical therapy is the major therapeutic option. This approach includes attention to hydration and dietary constituents such as protein, sodium, and calcium. Depending on other findings, dietary adjustment for oxalate, citric acid, and the like, may also be needed.

Original languageEnglish (US)
Pages (from-to)265-278
Number of pages14
JournalClinical Reviews in Bone and Mineral Metabolism
Issue number3
StatePublished - 2004


  • Diagnosis
  • Medical therapy
  • Renal stone disease

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Orthopedics and Sports Medicine
  • Endocrinology


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