The Curbsiders Internal Medicine Podcast #298 Urinary Stone Disease Will Rock Your World
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Oct 4, 2021 AI Snips
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Becoming A Kidney Stone Doctor
- David Goldfarb became a kidney stone doctor after forming stones himself.
- His personal history motivated his career focus on stone prevention and care.
Heat Raises Stone Risk
- Kidney stones are more common in warmer climates because dehydration concentrates urine and increases supersaturation.
- Seasonality and heat exposure are clear drivers of stone incidence.
Imaging Strategy For Diagnosis
- For first-time or unclear cases, order a non-contrast CT abdomen/pelvis to confirm diagnosis and detect other stones.
- Use ultrasound to detect hydronephrosis when CT access is limited, but CT remains gold standard.