med-student

I GOT INTO MEDICAL SCHOOL!!!!!!!!!!!!!!!!!! I’m going back to uni and in 5 years I will be a Doctor! I am in shock and so so so happy. My dreams have finally come true!

Originally posted by allreactions

URINARY CRYSTALS
1. Ca++ Oxalate: “envelope shaped”
- risk factors: hypercalciuria and low urine volume
- can be associated with stone formation

2. Cystine crystals: “hexagonal”
- ALWAYS pathologic
- only seen in patients with cystinuria
- mutation in proteins responsible for cystine transport

3. Triple Phosphate crystal: “coffin-shaped”
- associated with upper urinary tract calculi “Staghorn”
- requires alkaline pH (>7.2)
- common with UTI caused by urea-splitting organism

4. Uric Acid crystals
- requires acidic pH (<5.5)
- stones are radiolucent
- associated with leukemia, rapid cell turnover, or cell lysis from chemo

You may not become the best doctor in the world, or this country, this state or city. Hell, you may not even be the best doctor on your street, at your hospital or clinic, or the best doctor on a hospital floor or in a room at a given time.
But when a patient comes to you, scared the headaches, the chest pains, whatever they’ve been having for months might be something worse, at that moment, YOU are their best chance for survival. You are that patient’s best hope, and proving yourself worthy of that responsibility is the only title you should ever care about winning.
—  A practicing physician for 40 years, and one who still hasn’t lost sight of what truly matters in this profession: the patients.