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Medical Forum / General / Pharmacy / March 2004

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Urine citrate, pH

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Don Saklad - 23 Mar 2004 07:46 GMT
a. What do the three letters represent mnemonically?... RTA

b. What is a urea splitting infection?...

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Lith O Link
...
Primary Urine Chemistry Data
...

Dynamic Probability Ranging:
Large and bold, like a stone forming patient
(all values are mg/day except as noted below; normal ranges as below).

...

Cit 24  Urine Citrate    Date Urine Collection
802                      2/16/2004  
1074 [ font very tiny ]  8/18/2003
1023 [ font very tiny ]  8/17/2003
men >450, women >550:
when low, consider K citrate 25 bid;
if from RTA (urine pH > 6.5) also use K citrate.

SS CaP  Supersaturation CaP
0.31 [ font very tiny ]      2/16/2004
1.95 [ font Bold ]           8/18/2003  
2.61 [ font Bold ]           8/17/2003
0.5-2;
correlates with CaP stones.
Urine urually pH > 6.5,
IH common.

UpH  24 Hour Urine pH
5.478 [ font slightly larger and bold ]  2/16/2004  
6.229                                    8/18/2003  
6.847 [ font Bold ]                      8/17/2003  
5.8-6.2;
<5.8 consider K or Na citrate 25-30 mEq BID;
6.5, RTA if citrate is low;
>8, urea splitting infection.

...

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Reference
http://litholink.com
BilZ0r - 23 Mar 2004 07:57 GMT
> a. What do the three letters represent mnemonically?... RTA

I'm geussing Renal Tubular Acidosis

> b. What is a urea splitting infection?...

Its an infection with an bactaria that can split urea molecules for energy,
its common in the bladder, and can lead to deposition of inorganic salts on
to the surface of the bladder
 
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