Question

The male patient is Jewish, has a history of gout, and has been diagnosed with renal calculi. Which treatment will be used with this patient (select all that apply)?

a. Reduce dietary oxalate
b. Administer allopurinol
c. Administer α-penicillamine
d. Administer thiazide diuretics
e. Reduce animal protein intake
f. Reduce intake of milk products

Answer 1

For a male patient with gout and renal calculi, treatments include reducing dietary oxalate, administering allopurinol, reducing animal protein intake, and potentially using thiazide diuretics. Avoiding milk products and α-penicillamine are not indicated in the provided information.

Step-by-step explanation:

The appropriate treatments for a male patient with a history of gout and a diagnosis of renal calculi include dietary modifications and specific medications. Key strategies include:

• Reducing dietary oxalate to prevent the formation of calcium oxalate stones, which are caused by high levels of oxalate in the urine.
• Administering allopurinol, a medication that reduces the production of uric acid and is useful in managing gout and certain types of kidney stones.
• Reducing animal protein intake to decrease the amount of nitrogenous waste in the diet, thereby reducing the risk of gout and kidney stone formation.
• Administering thiazide diuretics can help in certain cases of stone formation by reducing calcium in the urine.

It is important to note that administering α-penicillamine and reducing intake of milk products are not mentioned in the provided references as treatments for the patient's condition.