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학습 자료 둘러보기 →The classic presentation of urolithiasis is acute, severe colicky flank pain that radiates to the groin as the stone migrates down the ureter. This pain is caused by ureteral smooth muscle spasm.
The most indicative assessment finding is the combination of this pain with hematuria (gross or microscopic). The irregular stone edges scrape the urothelial lining, causing direct mucosal trauma and bleeding.
The presence of fever and chills is not a primary sign of a simple stone; it suggests a complicating urinary tract infection or obstruction requiring urgent intervention. Always assess for signs of sepsis.
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