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Multiple Choice

Which symptom can accompany renal calculi as the stone passes?

The symptom pattern reflects renal colic from a stone moving through the ureter. As the stone passes, it irritates the ureter and triggers rhythmic contractions, causing intense, intermittent waves of pain that rise and fall in intensity. This waxing and waning pain is classic as the obstruction shifts with peristaltic activity and stone position. Nausea and vomiting can accompany this autonomic response, but fever and chills point toward infection rather than simple stone passage, and dizziness isn’t typical. So the waves of pain best describe what happens when a renal stone passes.

The symptom pattern reflects renal colic from a stone moving through the ureter. As the stone passes, it irritates the ureter and triggers rhythmic contractions, causing intense, intermittent waves of pain that rise and fall in intensity. This waxing and waning pain is classic as the obstruction shifts with peristaltic activity and stone position. Nausea and vomiting can accompany this autonomic response, but fever and chills point toward infection rather than simple stone passage, and dizziness isn’t typical. So the waves of pain best describe what happens when a renal stone passes.