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Ko'proq ko'rsatish

Iroq42 324 Tibbiyot11 399

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Obunachilar

Ma'lumot yo'q24 soatlar

+27 kunlar

+1430 kunlar

318

Post ko'rishlar

~ 14824 soatlar

~ 17348 soatlar

19.19%

Muloqot nisbati

~ 4

Kuniga postlar

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Postlar arxiv

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All are radiopaque except one:

Anonymous voting

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🪨 ESWL for small stones, PCNL for big bones Small stones ≤2 cm → ESWL Larger → PCNL.

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A patient present with pain and tenderness in the left iliac fossa. USG shows a 2 cm stone in the renal pelvis without any hydronephrosis. Most appropriate management:

Anonymous voting

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Treatment of choice of ureteric colic is:

Anonymous voting

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🚶‍♂️ Ureteric colic → Up and down, can’t lie down!

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Ureteric colic characterized by all except:

Anonymous voting

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💎 Cystine → Cry & Scream = worst ureteric pain

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Most severe pain in ureteric stone is seen in cases of:

Anonymous voting

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🩺 Both blocked = Both kidneys cry = CRF 💔🩸

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Commonest presentation of bilateral ureteric stones:

Anonymous voting

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Ureteric stone 🪨 climbs the nerve ladder 🪜 → hits Genitofemoral 🎯 → groin/scrotum pain 😣.

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Ureteric colic pain is referred along this nerve because the ureter shares visceral afferent fibers with L1–L2 spinal segments. Hence, stone in the ureter causes loin-to-groin pain radiating along genitofemoral distribution.

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

Anonymous voting

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

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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.

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

Anonymous voting

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

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

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

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Ureteric colic due to stone is caused by:

Anonymous voting