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Exam questionKROK 2Medicine ยท 2016

A 35-year-old man complains of intense lumbar pain irradiating to the inguinal area, external genitalia, thigh; frequent urination, chill, nausea, vomiting. Objectively: positive Pasternatsky's symptom (costovertebral angle tenderness). Urine analysis revealed that RBCs and WBCs covered the total field of microscope; the urine exhibited high protein concentration. These clinical presentations were most likely caused by the following pathology:

Answer options

  1. Renal infarct
  2. Urolithiasis, renal colic
  3. Intestinal obstruction
  4. Osteochondrosis, acute radicular syndrome
  5. Cholelithiasis, biliary colic
Correct answer

Urolithiasis, renal colic

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