Interactive Case: PH1

CE / CME

Diagnosis and Management of Primary Hyperoxaluria Type 1: An Interactive Case Challenge

Physician Assistants/Physician Associates: 1.00 AAPA Category 1 CME credit

Nurses: 1.00 Nursing contact hour

Physicians: maximum of 1.00 AMA PRA Category 1 Credit

Released: December 12, 2023

Expiration: December 11, 2024

David S. Goldfarb
David S. Goldfarb, MD, FASN, FNKF

Activity

Progress
1 2
Course Completed

History
9-year-old male with a history of 2 urinary tract infections in the past year presents to his pediatrician with abdominal pain and fever  

Current Presentation
His mother states that he began to experience pain in his lower back/abdomen over the past few days and this morning noted a pink tinge to his urine. He denies any nausea or vomiting. He is otherwise healthy and not currently receiving any routine medications, although his mother states that she has given him several doses of children’s ibuprofen over the past several days. 

In addition, the patient reported flank pain over the past few days. He subsequently did pass a small stone. A fragment of the stone was collected and brought into the office visit. He has no family history of kidney stones or kidney disease. Physical exam and blood pressure are normal. He weighs 30 kg and is 54 inches tall.

Which of the following tests would you order for this patient at this time?