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Referred pain from ureteric colic is felt in the groin due to involvement of the following nerve:
Anonymous voting

Proteus 🦠 makes urine basic 💧🧂 → clouds ☁️ + pus 🩸 + struvite 🪨.

Proteus species are urease-producing bacteria. Urease splits urea → ammonia → raises urine pH → alkaline urine. Alkaline urine + cloudiness with pus cells indicates urinary tract infection with Proteus. This environment also favors struvite (triple phosphate) stone formation.

A patient with alkaline urine which is cloudy with plenty of pus cells is suffering from infection with:
Anonymous voting

انا بعد يغلط في سؤال منبه عليه أكثر من مرة 😂😂😂

Ureter 💥 tries to squeeze 💪 the stone 🪨 out → pain ⚡!

Ureteric colic pain is sharp, intermittent, and radiates along the ureter.

Ureteric colic due to stone is caused by:
Anonymous voting

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