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19. Which of the following statements regarding thyroid neoplasms is CORRECT?
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Hyperparathyroidism.
→ Causes calcium stones (↑ calcium).
Chronic urinary tract infection.
→ Leads to struvite (triple phosphate) stones.
Renal tubular acidosis (Type 1).
→ Causes calcium phosphate stones.
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18. Which of the following conditions is a risk factor for uric acid stones?
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1. Acute pyelonephritis:
Would have fever, flank pain, costovertebral angle tenderness, ± vomiting.
2. Urethritis:
More associated with urethral discharge and STI history.
3. Renal calculi.
Causes colicky flank pain, hematuria, not urgency/frequency.
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Classic lower urinary tract infection (UTI) picture:
1. Dysuria (burning)
2. Frequency
3. Urgency
4. Suprapubic pain
All point to bladder inflammation = cystitis.
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“CYSTitis = CITY bladder”
C= Can’t hold urine
I= Irritated bladder
T= Tiny frequent voids
Y= Yow! suprapubic pain
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17. Patient presents with dysuria, urinary frequency, urgency, and suprapubic pain.
What is the most likely diagnosis?
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16. Which condition is characterized "currant jelly" stools in children ?
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1. Sudden inability to void
2. Painful lower abdominal distension
3. Feeling of bladder fullness
This is classic features of acute urinary retention
most commonly cause is benign prostatic hyperplasia (BPH) in elderly men.
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15. A 68-year-old man presents to the emergency department with sudden inability to pass urine. He reports lower abdominal discomfort and a feeling of bladder fullness.
What is the most likely diagnosis?
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