By vgreene, 10 July, 2024 Patient Type Header (Long) Ca++ oxalate stones Does this Patient Type contain sub types? No Patient Type Details Perform blood and urine analyses to identify treatable metabolic abnormalities 1 Blood tests Cr Na K Cl ionized Ca or total calcium albumin PO4 uric acid if calcium levels parathyroid hormone PTH and vitamin D Urine tests urine volume urine pH specific gr Advise pt to increase fluid intake to achieve target urine output Offer diet guidance to prevent recurrence Modify lifestyle factors as follows 1 Offer meds only if increased fluids fails and stones are recurrent per ACP 2 Offer mono tx w thiazide citrate or allopurinol WR M 2 Base tx on results of 24 hr urine test underlying causes per AUA EUA1 3 Follow up