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Grand Rounds 11/30/16 @ BID-Needham: Dr. Jeffrey H. William  

Nephrolithiasis: A Case-Based Approach
Last Updated: Dec 1, 2016 URL: http://bidmc.libguides.com/William/2016 Print Guide RSS Updates
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Speaker: Date: Topic

Jeffrey H. William, MD

Nov. 30, 2016

Nephrolithiasis: A Case-Based Approach

      

    Objectives of the Presentation

    Participants should be able to:

    • Recognize the variable presentations of a patient with nephrolithiasis.
    • Describe the symptoms and differentiating features of kidney stones.
    • Select the appropriate imaging studies for suspect nephrolithiasis.
    • Confidently approach the initial management of documented nephrolithiasis (and dispel commonly perceived myths).
    • Understand the roles of the urologist and nephrologist in management and prevention of kidney stones.
        

      Responsibility for Content

      The PowerPoint presentation, Take-Away points, Objectives, and Abstract Links were sent by Medical Library Services and the CME Committee.

      Diane E. Young, Information Specialist

      dyoung3@bidmc.harvard.edu

       

          

        Take-Away Points of the Presentation

        1. The initial management of a suspected kidney stone in the primary care office requires a urinalysis, CT imaging, and clear instructions regarding "medical expulsive therapy", hydration, and urine straining. Large stones or failure of conservative management requires urology referral.

        2. Nephrolithiasis can be managed much more effectively if a stone analysis is able to be performed. Knowing the composition of the stone helps to guide management surrounding prevention of future stone formation, often addressed by nephrology.

        3. There are a lot of myths out there about managing and preventing kidney stones. Treatment and prevention should be based on data and physiology, not websites.

            
           

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          PDF of the PowerPoint Presentation

          Disclosures

          Director of Medical Education and Committee Members have indicated they have no relevant financial interests of relationships to disclose. Faculty has indicated no relevant financial interests of relationships to disclose.

              

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