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BackTable / Urology / Podcast / Episode #132

Metabolic Workup for Pediatric Stone Patients

with Dr. David Sas

This week on BackTable Urology, Dr. Jose Silva and Dr. David Sas, a pediatric nephrologist at the Mayo Clinic-Rochester, discuss clinical presentation and prevention of kidney stones in children as well as workup of metabolic diseases.

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Metabolic Workup for Pediatric Stone Patients with Dr. David Sas on the BackTable Urology Podcast)
Ep 132 Metabolic Workup for Pediatric Stone Patients with Dr. David Sas
00:00 / 01:04

BackTable, LLC (Producer). (2023, October 27). Ep. 132 – Metabolic Workup for Pediatric Stone Patients [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. David Sas discusses Metabolic Workup for Pediatric Stone Patients on the BackTable 132 Podcast

Dr. David Sas

Dr. David Sas is a pediatric nephrologist at Mayo Clinic in Rochester, Minnesota.

Dr. Jose Silva discusses Metabolic Workup for Pediatric Stone Patients on the BackTable 132 Podcast

Dr. Jose Silva

Dr. Jose Silva is a board certified urologist practicing in Central Florida.

Synopsis

First, David explains how laboratory and genetic tests can be useful when determining the cause of kidney stones. Obtaining a 24-hour urine sample and analyzing stone composition are important for understanding the causes of stone formation in teenagers. Environmental and genetic factors can also contribute to the formation of stones. For example, CYP24A1 mutation a gene can cause a hypersensitivity to vitamin D and calcium in the diet.

Next, David and Jose discuss lifestyle modifications for preventing stones in teenagers. They talk about how to limit sodium intake, the use of thiazide diuretics, and supplementing potassium citrate for calcium oxalate stones. Furthermore, they delve into the causes of hyperoxaluria, which are genetic primary hyperoxaluria and enteric hyperoxaluria. Additionally, they discuss the rare monosodium urate stones, which are usually associated with metabolic acidosis but can be caused by chronic diarrhea or eating a lot of protein.

The doctors end by discussing the challenges of transitioning pediatric management to adult management. Lastly, they discuss the potential causes of why more kids are forming stones, such as increasing sweet juices and fast food in the diet.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Kidney Stones Condition Overview

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