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When does one see calcium phosphate stones?

a) When the urine is acidic
b) When there is a high intake of oxalate-rich foods
c) In patients with hyperparathyroidism
d) In individuals with a family history of kidney stones

1 Answer

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Final answer:

Calcium phosphate stones are more commonly seen in patients with hyperparathyroidism or conditions that affect the kidney's acid balance, such as renal tubular acidosis, rather than dietary intake or urine pH alone.

Step-by-step explanation:

Calcium phosphate stones are seen in patients with hyperparathyroidism. Hyperparathyroidism can increase calcium levels in the urine and, combined with other factors, can lead to the formation of kidney stones. Conditions such as renal tubular acidosis are also associated with the formation of calcium phosphate stones, challenging the kidney's ability to excrete acid, which can then lead to stone formation.

Calcium oxalate stones, which are different from calcium phosphate stones, can form due to a high intake of oxalate-rich foods, as oxalate can bind with calcium in the urine, leading to stone formation. Unlike uric acid stones, which are associated with acidic urine, calcium phosphate stones are not typically tied to urine pH but to systemic conditions affecting calcium and phosphate homeostasis.

Precipitation of calcium and phosphate ions in urine to form these stones is a complex process influenced by various substances including oxalate and the pH of the urine. Both hereditary and dietary factors can contribute to the likelihood of forming these stones, so individuals with a family history of kidney stones may have an increased risk, but it is not the specific condition linked to calcium phosphate stone formation.

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