@zyou_79: شنو ردت فعلكم هم مثل امي؟!! @Mohanad Ali✅ 😂#اكسبلورexplore #اسود_الرافدين_فخرنا🇮🇶##fashiontiktok fashion #المنتخب_العراقي

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Wednesday 17 June 2026 19:49:28 GMT
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user6143084818184
✨لبوه 🐆 :
والله استحي اذا اگول امي 😂😂
2026-06-18 22:04:32
9
raghoosh.ip
اميرتهن :
والله يجنن محتواج استمري
2026-06-24 06:34:32
2
user4740272967740
مِريم || فداء الحسين★ :
ياععع انيي نسيبيي لججج
2026-06-18 12:23:16
3
mi33.17
MiMi :
حموووت دائمًا اگوللها هذا رجلي وشگد أتغزل بي گدامها هي تگضيها بس تضحك عليه😭😭😭😭😭🙏🏼.
2026-06-24 18:59:43
3
k_alm.a
بنت اسود الرافدين🇴🇲🇮🇶 :
اي وربي كل اهلي هيج يسلكولي من اكللهم😂🙂
2026-06-20 08:19:44
2
hiba.qusay
الله هو الحب❤️‍🩹 :
ولكم اني بس اكول ابو طبر يطبروني😂❤️
2026-06-21 15:43:10
1
mfz491
مـ❣ـہيمـ❣ـہي :
😂😂😂
2026-06-27 10:59:26
1
.r07254
إٻۧــڸــﯧْۧــٰ̍ا̍ :
😁😁😁
2026-06-17 20:24:22
1
user3777013591675
شرطاويه :
😂😂😂😂😂
2026-06-18 09:19:20
1
roqaya.ali03
Roqaya Ali :
😂😂😂
2026-06-20 23:47:47
1
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1. Calcium Oxalate (Most Common) Crystal Shape: Envelope-shaped (bipyramidal). Urinary pH: Forms in acidic urine. 💥Key Mechanism: Often linked to fat malabsorption (e.g., Crohn’s disease). Unabsorbed fats bind calcium in the gut, leaving oxalate 7). 💥Key Mechanism: Caused by infection with urease-positive bacteria (e.g., Proteus, Klebsiella). These organisms split urea into ammonia, raising the pH. 💥Pearl: These often form "staghorn calculi," which are too large to pass and require surgical intervention. 3. Uric Acid Crystal Shape: Rhomboid or needle-shaped. Urinary pH: Forms in acidic urine. 💥Key Mechanism: Associated with high cell turnover (Hyperuricemia), such as in Gout, Leukemia/Lymphoma (Tumor Lysis Syndrome), or Lesch-Nyhan syndrome. 💥Pearl: These stones are radiolucent (invisible on X-ray) but visible on CT scans. 4. Cystine Crystal Shape: Hexagonal. Urinary pH: Forms in acidic urine. 💥Key Mechanism: A hereditary (autosomal recessive) defect in the COLA transporter (Cysteine, Ornithine, Lysine, Arginine) in the proximal tubule. 💥Pearl: Diagnosed with a positive cyanide-nitroprusside test, which turns the urine magenta. #medstudent #nursingschool #nursingnotes #examhelp #student" width="135" height="240">
1. Calcium Oxalate (Most Common) Crystal Shape: Envelope-shaped (bipyramidal). Urinary pH: Forms in acidic urine. 💥Key Mechanism: Often linked to fat malabsorption (e.g., Crohn’s disease). Unabsorbed fats bind calcium in the gut, leaving oxalate "free" to be absorbed and later precipitated in the kidney. 💥Pearl: Thiazide diuretics are used for prevention because they increase calcium reabsorption in the distal convoluted tubule, lowering urinary calcium levels. 2. Struvite (Ammonium Magnesium Phosphate) Crystal Shape: Coffin lid-shaped. Urinary pH: Forms in alkaline urine (pH>7). 💥Key Mechanism: Caused by infection with urease-positive bacteria (e.g., Proteus, Klebsiella). These organisms split urea into ammonia, raising the pH. 💥Pearl: These often form "staghorn calculi," which are too large to pass and require surgical intervention. 3. Uric Acid Crystal Shape: Rhomboid or needle-shaped. Urinary pH: Forms in acidic urine. 💥Key Mechanism: Associated with high cell turnover (Hyperuricemia), such as in Gout, Leukemia/Lymphoma (Tumor Lysis Syndrome), or Lesch-Nyhan syndrome. 💥Pearl: These stones are radiolucent (invisible on X-ray) but visible on CT scans. 4. Cystine Crystal Shape: Hexagonal. Urinary pH: Forms in acidic urine. 💥Key Mechanism: A hereditary (autosomal recessive) defect in the COLA transporter (Cysteine, Ornithine, Lysine, Arginine) in the proximal tubule. 💥Pearl: Diagnosed with a positive cyanide-nitroprusside test, which turns the urine magenta. #medstudent #nursingschool #nursingnotes #examhelp #student

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