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NBME 24 Answers

nbme24/Block 4/Question#22 (32.7 difficulty score)
A 45-year-old man is brought to the emergency ...
Renal calculi in the left ureterπŸ”

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submitted by sajaqua1(532),
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heT syke ot sthi ernwas are htat ti is rafliy dnesud in so,nte nad egt.amirs None fo het orthe ssaenwr cdluo axpilne het tevemnmo fo ainp mrfo lkanf ot LQL to .otumcrs Wehil het kdieny oenst soed otn uayalclt entre hte mou,crst eht pina nca eb erdrreef to the ci.stletse

submitted by sweetmed(144),
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seartiluTc stornoi tmosyl ppesnah ni gouyn s,byo eyralr in ldauts. solA hte inpa sdtarte at eth aslfkn, hchwi is ont how nooistr aipn

j44n  I actually had testicular torsion and my pain started in my appendix area and by the time I got to the hospital it localized to my testicle +3  

submitted by lispectedwumbologist(109),
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oHw od you iidtuisghns isth mfor eisturlcat niorst?o sI ti utsj ebceaus ti tseatdr ni eth elft nkfl?a

neels11  and there's no mass in the scrotum, whereas testicular torsion will have that "bag of worms" feel (along with a lack of cremaster reflex) testicular torsion usually happens in a younger age group +11  
medpsychosis  @neels11 I would like to clarify a piece of information. I believe you are confusing Varicocele with Testicular Torsion. Varicocele will present with "bag of worms" feeling. While the absence of cremasteric reflex is a sign of testicular torsion. +16  
johnson  This is the classic "loin to groin pain" of nephrolithiasis. +7  
suckitnbme  Testicular torsion would also tend to have a unilateral high-riding testicle. +  

submitted by youssefa(131),
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I anem yhw wuldo a lsteitec tnru oaudnr eislft henw no'soesme s.gpeienl shTi alyylicpt ccsour taerf prst/so ecbylic gniird te..c

brotherimodu  People can move in their sleep? +2  
prolific_pygophilic  Actually in highschool this happened to a couple of my friends in their sleep, woke up with the sack all twisted +