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SurgeNote

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Dietl 😫: Painful loin 🫀, swells 🌊, disappears 💨 after pee.

Classic triad: 1. Renal colic – sudden flank pain. 2. Flank/loin swelling – due to hydronephrosis. 3. Disappearance of swelling after urination – as urine passes.

واحد يختار triad يا 😏 دكاترة

Triad of renal colic, swelling in loin which disappears after passing urine is called:
Anonymous voting

ركزوا 🥱👋
+1
ركزوا 🥱👋

اقروها بتركيز الأولى معلومة والثانية case 😂

What is the most probable site of lodgment of the stone?
Anonymous voting

A patient was admitted with complaints of ureteric stone. He was on treatment with IV fluids and analgesics. Suddenly he developed radiating pain to the pubic area and medial aspect of the thigh. The stone is coming down.

Pelvic brim stone 🪨 → shoots pain 🚀 down the inner thigh 🦵 and perineum 🍑 in men.

Locate the renal stone with pain radiating to medial side of thigh and perineum due to slipping of stone in males:
Anonymous voting

“Struvite Stones 🦌 = Magnesium 🪄 + Calcium 🪨 partying in an alkaline lake 🛁 thanks to Proteus bacteria 🦠”

Struvite stone is caused by which metal?
Anonymous voting

Proteus → Pee-er 🤢 makes your urine alkaline

Potent producer of urease is:
Anonymous voting

مافش تفاعل عكس القنوات الثانية يقول 🥱 نشوف تفاعلات 😂😂😂😂

“Phosphate likes basic bath 💧🪨” (Phosphate → alkaline)

الفكرة في Phosphate مش Calcium

Stone formed in alkaline urine is:
Anonymous voting

“Laxative → Loose stools → Urate stones 💩➡️💎 "

Chronic laxative abuse can result in the formation of which type of stone?
Anonymous voting