Renal Stones A Guide for the Non-Urologist.ppt

Renal Stones: A Guide for the Non-Urologist F. A. Fried, MD University of North Carolina Division of Urology Pathogenesis of Renal Stones all urinary stones are composed of 98% crystalline material and 2% mucoprotein the crystalline component(s) may be found “pure” or in combination with each other. the common characteristic that all crystalline components share, is that they have a very limited solubility in urine Pathogenesis of Renal Stones (cont.) 99% of renal stones (in western hemisphere) are composed of: calcium oxalate 75% (mono or di hydrate) calcium hydroxyl phosphate (15%)(apat