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Shahid faizullah 804
Shahid faizullah 804
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Thursday 09 July 2026 12:41:07 GMT
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usmanullahgroup88
[email protected] :
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2026-07-11 19:22:11
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muhammed.khyal
♥️KHAYAL💛 MUHAMMAD62071 :
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2026-08-06 09:30:41
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shah.faisal9184
میرابان ♣️♣️♠️ :
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2026-07-09 15:49:07
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muhammed.khyal
♥️KHAYAL💛 MUHAMMAD62071 :
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2026-08-06 09:30:38
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nahidzaman888
NAhidzaman888🦅🦅🦅 :
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2026-07-10 04:36:04
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rasheeid20
Rasheeid2 :
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2026-07-10 12:03:18
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nahidzaman888
NAhidzaman888🦅🦅🦅 :
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2026-07-10 04:36:08
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nahidzaman888
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2026-07-10 04:36:06
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usmaa792
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2026-07-09 15:14:33
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iss.pyaar.jo.naam
iss pyaar Jo naam likh ke do :
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2026-07-09 14:32:49
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nikodada711fc
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2026-07-09 13:34:08
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gul.wahid63
Gul Wahid :
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2026-07-09 12:48:16
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.8887656
واحد زمان چیچی گجر 888 :
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2026-07-09 12:47:03
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واحد زمان چیچی گجر 888 :
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2026-07-09 12:47:01
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2026-07-09 12:46:59
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واحد زمان چیچی گجر 888 :
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2026-07-09 12:46:53
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muhammed.khyal
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2026-08-06 09:30:43
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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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