A 37-year-old soldier with right flank pain

The objective of this study was to discuss the appropriate diagnostic and treatment approach to an active duty patient presenting with recurrent kidney stones. A 37-year-old active duty infantryman, stationed in Iraq, was evacuated by air to Walter Reed Army Medical Center for workup of recurrent kidney stones and hypercalcemia. A diagnosis was made and the definitive treatment was performed. During this report, we will illustrate the various aspects of diagnosis that are involved with the workup of kidney stones and hypercalcemia as well as discuss the available treatment options. Relevant military issues include proceeding with the initial management regimen and recognition of appropriate reasons for initiation of referral consultation.