Key Points

• Patients with proteinuria and elevated Upr/UCr should be evaluated for chronic kidney disease. The serum creatinine level may not correlate with glomerular filtration rate; GFR estimates are adequate to diagnose kidney disease; 24-hour urine testing is usually not needed.

• Patients with chronic kidney disease need systemic management.

• Enuresis typically resolves with age. A bed-wetting alarm is effective if treatment is needed.

• Erectile dysfunction has many causes and may be a marker of vascular disease.

• Pelvic floor muscle exercises are first-line treatment for stress and mixed urinary incontinence.

• Anticholinergic drugs and trospium are effective treatments for urge incontinence.

• Anticholinergic drugs for an overactive bladder may not have clinically significant benefits and often cause dry mouth.

• Men with recurrent kidney stones and idiopathic hypercalciuria should be on a low-sodium, low-protein diet. Low-calcium diets do not reduce stone formation.

• Non-contrast-enhanced CT is the test of choice for diagnosing kidney stones.

Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.

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