The Anatomy of a Didactic Question
Which of the following is a risk factor for struvite urinary tract stones?
D.Recent urinary tract infection.Struvite stones occur due to upper urinary tract infections caused by urease-producing organisms, such as Proteus or Klebsiella.
A.High urinary calcium is a risk factor for calcium-based renal and ureteral stones. Urinary calcium is increased by high oxalate diets, low water intake, low calcium dietary intake, and calcium supplementation.
B.History of gout attacks is a risk factor for uric acid-based stones.
C.Male sex is a risk factor for calcium-based stones. Struvite stones are more common in women since women are more likely to have urinary tract infections.
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