f******y
发帖数: 73 | 1 39. A 63-year-old man is brought to the emergency
department 3 hours after the acute onset of severe right-sided flank
pain. He has a 9-year history of gout. His blood pressure is 110/84
mm Hg, pulse is 78/min, and respirations are 16/min. Examination
shows normal bowel sounds and no abdominal tenderness or masses. Urinalysis
shows 40 erythrocytes/hpf. Intravenous pyelography confirms a
right ureteral calculus. Which of the following is the most likely
underlying mechanism of this patient's urol | h**i
发帖数: 148 | 2 not sure, I choose A
chronic gout--need increase pH to lower the risk of uric acid stone, while i
ncrease the risk of calcium stone.
ureteral calculus -- calcium oxalate
Urinalysis
【在 f******y 的大作中提到】
: 39. A 63-year-old man is brought to the emergency
: department 3 hours after the acute onset of severe right-sided flank
: pain. He has a 9-year history of gout. His blood pressure is 110/84
: mm Hg, pulse is 78/min, and respirations are 16/min. Examination
: shows normal bowel sounds and no abdominal tenderness or masses. Urinalysis
: shows 40 erythrocytes/hpf. Intravenous pyelography confirms a
: right ureteral calculus. Which of the following is the most likely
: underlying mechanism of this patient's urol
| n***8
发帖数: 634 | |
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