A 32-Year-Old Man Comes to the Emergency Department Due to Sudden

question 56

Multiple Choice

A 32-year-old man comes to the emergency department due to sudden onset of severe right flank pain that radiates toward the groin.  He also has gross hematuria but no fever or dysuria.  The patient has no significant medical conditions and has never experienced similar symptoms.  He takes no medications.  Temperature is 36.7 C (98.1 F) , blood pressure is 120/80 mm Hg, and pulse is 88/min.  The right flank is tender to palpation.  There is no costovertebral angle tenderness.  Imaging shows a stone in the middle of the right ureter.  Which of the following is most likely to be seen on laboratory evaluation of this patient?

• A)Hypercalcemia, hypercalciuria
• B)Hyperuricemia, hyperuricosuria
• C)Normocalcemia, hypercalciuria
• D)Normocalcemia, hyperoxaluria
• E)Normouricemia, hyperuricosuria

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Definitions:

September 11

A date marked by terrorist attacks in 2001 on the United States, specifically targeting the World Trade Center in New York City and the Pentagon.

World Trade Center

A large complex of office buildings in Lower Manhattan, New York, known for being the site of a terrorist attack on September 11, 2001.

Repression

Repression is a psychological defense mechanism where unpleasant thoughts, feelings, or desires are unconsciously excluded from consciousness.

First Years Of Life

The initial period of a person's life, typically referring to the time from birth to age three, crucial for development.