A 60-year-old man has been diagnosed with renal calculi after repeated episodes of excruciating flank pain in recent weeks. The man states that, "I don't know how this could happen to me, since I'm so careful about eating a healthy diet." What is the most appropriate response to the man's statement?
A) "Your diet may have played a part in this, but in fact, genetics are likely primarily to blame."
B) "What you eat can influence your risk of stone formation, but many other factors like hormones and your metabolism are involved."
C) "You likely don't need to change your diet, but now that you have stones in one kidney, you're at very high risk of growing them in the other kidney."
D) "Your diet might be normally healthy, but high intake of normally beneficial minerals like calcium and magnesium can lead to stones."

Question

Quizplus · Accepted Answer

Renal calculi have a complex etiology that includes diet, but also many other metabolic and endocrine factors, among others. Genetics are not identified as a contributor, and mineral intake is not likely to be the sole factor. Stone formation is normally unilateral.

A 60-Year-Old Man Has Been Diagnosed with Renal Calculi After