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Surgery Kidney & Ureturs c1ce3979

Composition of staghorn calculus is -

A
Magnesium ammonium phosphate
B
Calcium oxalate
C
Uric acid
D
Cystiene
High-Yield Explanation
Ans. is 'a' i.e., Magnesium ammonium phosphate Staghorn calculi:* Staghorn calculi are composed of struvite (MAP, magnesium ammonium phosphate) and are usually seen in the setting of recurrent urinary tract infection with urease producing bacteria (e.g. Proteus, Klebsiella, Pseudomonas and Enterobacter).* Calcium phosphate combines with ammonium and magnesium to form the triple phosphate calculus* ieCalcium amnomium magnesium phosphate also k/a struvite stones.* These stones are smooth and dirty white and soltitary*, seen in alkaline urine esp with proteus infection which split urea to ammonia.* This type of calculus may enlarge to fill all or most of the renal collecting system forming a staghorn calculus.

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