A 45-year-old grocery sales clerk has been suffering from bouts of severe pain in his left flank region. He blamed it on prolonged standing for 8 hours straight while working. He was taking over-the-counter pain medications for his pain. One day, he found fresh blood in his urine. He went to a doctor who performed urine tests, CT scans, and x-rays. He was diagnosed with urinary calculi.

• Discuss possible factors that may have been responsible for the development of the stone and use this case to show how the patient’s diet and water intake can help analyze the composition of the calculi.
• What would be the test results of his white blood cells, blood calcium levels, CT scan, and x-ray?
• Suggest the best treatment for the patient and a plan to prevent recurrence post-treatment.

By Saturday, February 15, 2014, submit your responses to the above questions to the Discussion Area. Your responses should clarify your understanding of the topic. They should be your own, original and free from plagiarism. Use correct medical terminology, spelling, and grammar.