🕉️🔱কা ল রু দ্র🔱
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Saturday 25 July 2026 05:08:11 GMT
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Mr devdash🫀 :
শুভ সো ম বা র আরাধ্য 💥🕉️🔱 হর হর মহাদেব 👑❤️🙏
2026-07-26 19:34:16
1
Moon🪷🌿 :
har har mohadeb 🙏🏼🥰
2026-07-25 15:17:54
0
B࿐I࿐P࿐O࿐L࿐ :
হর হর মহাদেব 🙏🙏
2026-07-26 04:04:32
0
🔱 mahadever vhakto 🔱🙏 :
হর হর মহাদেব 🙏
2026-07-25 17:12:48
0
user5901287013082 :
হর হর মহাদেব
2026-07-25 08:26:12
0
Srashto Debnath :
Har Har Mohadev 🥰🥰🙏🙏
2026-07-25 06:23:09
0
আমি মহাদেব লাভার 🔱🚩 :
হর হর মহাদেব 🙏🌏
2026-07-25 17:09:28
0
𝓙𝓞𝓣𝓲 𝓡𝓸𝔂🥰🥰 :
🥰🥰🥰
2026-07-25 14:50:38
0
shantasaha127 :
💖💖💖
2026-07-25 08:39:12
0
🎧🎧🕉️ NARAYON 🕉️🕉️💷💷🕡 :
🙏🙏🙏
2026-07-25 06:26:25
0
💘আমরা 💔এক 🫶রানী🌹🌹আসক্ত 👌 :
🙏🙏🙏
2026-07-25 14:54:05
0
To see more videos from user @kalrudra7, please go to the Tikwm
homepage.
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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