Clinical Question-9
A 65 years male presented with complain of
Flank pain with radiation towards the groin – 6 months which is progressively increasing in nature.
Episodes are Associated with Nausea and vomitting
Diabetes and Hypertension.
On Examination there is – Costovertebral angle tenderness
What is your most probable Diagnosis ?
A. Cholelithiasis
B. Inguinal Hernia
C. Nephrolithiasis
D. Intestinal ischemia
Patient suspected to have Nephrolithiasis. Which is the standard imaging modality in the diagnosis of nephrolithiasis?
A. Ultrasonography
B. X-Ray KUB
C. Non-contrast enhanced computed tomography (CT) scan
D. Intravenous pyelograms
Stone removed from kidney and Image given below.
What is the most probable diagnosis?
User:Михајло Анђелковић, CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0, via Wikimedia Commons
Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/Urinary
A. calcium oxalate
B. uric acid
C. cystine
D. struvite
What is the color of uric acid stones ?
Uric acid crystals are colorless.
Uric acid kidney stones are often red–orange–brown in color.
The stone color originates from a variety of components in the matrix, some of which are a broad range of urinary pigments or urochrome.
What is the color of uric acid stones
Uric acid stones – Light microscopy of urine- urinary crystallizations with characteristic rectangular or rhomboid-shaped uric acid crystals.
Finding such crystals, along with an acidic urinary pH of 5.5 or less, is suggestive but not diagnostic of uric acid urolithiasis.
