1032 questions in this subject. The stream loops continuously.
Question 1 of 1032
Medium difficultyA 27-year-old woman comes to the clinic for evaluation of recurrent kidney stones. She reports intermittent flank pain for 2 years and has passed several small stones. She drinks 1–2 L of water daily. She has no history of gout. Medications include a combined oral contraceptive pill. Vital signs are normal. Serum studies show: calcium 9.4 mg/dL, phosphate 3.6 mg/dL, uric acid 4.8 mg/dL. Urinalysis shows pH 6.0 and no protein. A 24-hour urine collection reveals markedly elevated urinary calcium excretion with normal serum calcium. Which of the following is the most likely underlying mechanism of her hypercalciuria?
Choose one answer, check it, then continue.
Loading discussion