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CVA tenderness vs. groin tenderness differentiate between which two renal pathologies involving a calculus?

Option 1: CVA tenderness and groin tenderness differentiate between kidney stone in the kidney and kidney stone in the ureter.

Option 2: CVA tenderness and groin tenderness differentiate between kidney stone and bladder infection.

Option 3: CVA tenderness and groin tenderness differentiate between kidney stone and prostate enlargement.

Option 4: CVA tenderness and groin tenderness differentiate between kidney stone and pyelonephritis.

Answer :

We can differentiate between which two renal pathologies involving a calculus as follows:

Option 1: CVA tenderness and groin tenderness differentiate between a kidney stone in the kidney and a kidney stone in the ureter.

What is the difference?

CVA is also known as Costovertebral Angle and it is the tenderness that indicates pain or tenderness over the area of the kidneys in the lower back. On the other hand, groin tenderness refers to the discomfort in the lower abdomen or groin region.

Both of these symptoms help to differentiate between the location of a kidney stone, whether it is still in the kidney in which case it would be seen as causing CVA tenderness, or whether it has moved into the ureter, thus resulting in groin tenderness.

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