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Old 09-19-2012
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Arrow Belindalimm Daily Questions: Pathology #12

A 32-year-old male comes to emergency room complaining sudden onset of left flank pain. The painful sensation cannot alleviated by position change. Several hours later, one small kidney stone is passed out. What is the most likely correct description from following?

A. Hypercalcemia
B. Hyperuricemia
C. High blood level of magnesium
D. Hypercalciuria
E. Homocystinuria
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  #2  
Old 09-19-2012
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D. Hypercalciuria.
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Old 09-19-2012
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most common kidney stones--> calcium oxalate....so my answer is hypercalciuria
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Old 09-19-2012
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Default my answer :)

D. Hypercalciuria - MC w/o hipercalcemia
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Old 09-19-2012
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A.hypercalcemia-------->hypercalcuria

i wonder what they are looking for here.both A and D sounds true
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Old 09-20-2012
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Quote:
Originally Posted by belindalimm View Post
A 32-year-old male comes to emergency room complaining sudden onset of left flank pain. The painful sensation cannot alleviated by position change. Several hours later, one small kidney stone is passed out. What is the most likely correct description from following?

A. Hypercalcemia
B. Hyperuricemia
C. High blood level of magnesium
D. Hypercalciuria
E. Homocystinuria
Hypercalciuria..
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Old 09-20-2012
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Symptoms doesn't alleviate with position change....so I think this stone won't be caused by a common cause.
So my bet would be with hyper uremia but no other history to signify that.
So confused



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Old 09-20-2012
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Quote:
Originally Posted by koolkiller88 View Post
Symptoms doesn't alleviate with position change....so I think this stone won't be caused by a common cause.
So my bet would be with hyper uremia but no other history to signify that.
So confused



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Any stone irrelevant of its chemical composition will cause a ureteric colic of the same nature..i.e sudden onset, radiating from loin to groin, tossing and turning patient with no relief in change with position..So the question just tests epidemologically the most common cause of these stones..which is calcium oxalate so the answer is hypercalciuria.
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Old 09-20-2012
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Quote:
Originally Posted by Horizon5 View Post
Any stone irrelevant of its chemical composition will cause a ureteric colic of the same nature..i.e sudden onset, radiating from loin to groin, tossing and turning patient with no relief in change with position..So the question just tests epidemologically the most common cause of these stones..which is calcium oxalate so the answer is hypercalciuria.
Ya i know that. But i just finished reading goljian RR and it states in renal stones clinical symptoms that " Patients constantly moving to try to relieve pain". So that made me think but you may be right they are just testing the epidemiological parameter.
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Default Yes, the answer is hypercalciuria

Quote:
Originally Posted by Horizon5 View Post
Any stone irrelevant of its chemical composition will cause a ureteric colic of the same nature..i.e sudden onset, radiating from loin to groin, tossing and turning patient with no relief in change with position..So the question just tests epidemologically the most common cause of these stones..which is calcium oxalate so the answer is hypercalciuria.
The question stem told us about the patient having kidney stone. Then go scrutinizing all the answer choices we can figure out the question aims to ask the most common composition of kidney stones. Calcium and calcium oxalate most commonly forms kidney stones.

Thanks Horizon5 for explanation!
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Old 09-26-2012
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Kidney stones are hard objects that form in a person's urinary tract. About 80 percent of kidney stones are composed of calcium, mainly calcium oxalate and/or phosphate. Five percent of kidney stones are made of uric acid, 2 percent are made of the amino acid cystine, and the remainder are made of magnesium and ammonium phosphate
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Old 02-04-2014
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Your series of questions are very helpful, thus I was wondering if you have in a file. If u do I was wondering if you can send to me. PLEASE: plz: at simonmeas8atgmaildotcom.
Quote:
Originally Posted by belindalimm View Post
A 32-year-old male comes to emergency room complaining sudden onset of left flank pain. The painful sensation cannot alleviated by position change. Several hours later, one small kidney stone is passed out. What is the most likely correct description from following?

A. Hypercalcemia
B. Hyperuricemia
C. High blood level of magnesium
D. Hypercalciuria
E. Homocystinuria
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