Department of Radiology Conquest Hospital, East Sussex Healthcare Trust, St Leonards-on-Sea, East Sussex TN37 7RDĭr. Amarah Kiani, Locum Consultant- Radiology. Conquest Hospital, East Sussex Healthcare Trust, St Leonards-on-Sea, East Sussex TN37 7RDĭr. This radiograph shows a staghorn calculus filling the renal pelvis and calyces of the right kidney in this 16 year old boy. CURRENT Diagnosis & Treatment Nephrology & Hypertension. This can often lead to loss of renal function and parenchyma along with urosepsis. Staghorn calculi (SC), a type of UC, occupy the majority of the renal collecting system including at least two of the renal calyces along with the renal pelvis. 3Ĭlinicians should consider early imaging of urinary tract in female patients with long term urinary catheter and recurrent urinary tract infections to look for another cause of recurrent infections. Urinary calculus (UC) is one of the most common urological presentations to the emergency department. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging. Staghorn calculi are treated surgically and if left untreated, chronic infection due to staghorn calculi can eventually lead to to xanthogranulomatous pyelonephritis. Case presentation: A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. 1 Staghorn calculi are commonly encountered in women due to recurrent urinary tract infections. The appearance is in keeping with Staghorn calculus.Ī renal calculus is called Staghorn calculus when the upper urinary tract stones extend into at least two calyces and involve renal pelvis. Coronal unenhanced computed tomography image shows a densely calcified calculus involving the right lower pole renal calyces and extending into the renal pelvis. She underwent percutaneous nephrolithotomy to remove right staghorn calculus.įigure 1. She underwent a computed tomography of her urinary tract and pelvis, which showed a right staghorn calculus (Figure 1). In a large series, PCNL for staghorn stones revealed complete stone clearance rates of 98.5 and 71 for partial and complete. Its subsequent role in the management of staghorn stones was facilitated by the availability of ultrasonic and electrohydraulic lithotripters 23. Her urinary tract imaging was never requested. PCNL was first introduced in 1970s to treat small renal stones. She had a decade long history of recurrent urinary tract infections which were attributed to the long-term urinary catheter. A 65-year-old woman presented to the accident and emergency department with low grade fever, confusion due to urinary tract infection.
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![]() A lithium-polymer battery has a capacity rated at 2Ah. Alkaline batteries are a common example of _ batteries, while Lithium-polymer and lead-acid are very common _ batteries.Ģ. Fill in the blanks: depending on a battery's chemistry it can be either rechargeable or disposable. With the above information at hand, here's a quick quiz to test your shiny new knowledge:ġ. In general, disposable batteries are more power dense than rechargable batteries. Lithium batteries (coin cells, LiPos) can pack a lot of punch into small spaces due to their high power density, while zinc-carbon and NiCd batteries have extremely low power densities. The higher the power density, the higher the power it can supply in smaller sizes. Power density relates the amount of power (amps * voltage) a battery can supply to its weight, and is usually displayed in terms of watt-hours per kilogram (Wh/kg). 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When tying two batteries in series, it's recommended that they be of the same chemistry also be wary of charging batteries in series as many chargers are limited to single-cell charging.Ĭapacity is another of the more important characteristics to observe when picking your battery. For example, lead-acid car batteries are actually made out of six single-cell lead acid batteries tied together in series the six 2.1V cells add up to produce 12.6V. One more point on battery voltages: when two or more batteries are placed in series, the voltages of the batteries are added together. A fully charged LiPo battery will produce about 4.23V, while when discharged its voltage may be closer to 2.7V.Ĭommon batteries, their chemistry, and their nominal voltage The key word here is 'nominal', as the actual voltage of the battery will fluctuate depending on how much charge it has left. 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She calls him a "proper fellow" but Tommen gets a concerned look and says that Joffrey did not like Ser Pounce very much: once he threatened to skin the cat alive, and then secretly mix its innards into Tommen's food, so he wouldn't know he was eating his own pet. Tommen's cat Ser Pounce then jumps onto the bed, however, and she warms up to him by discussing his pet. She finds him in bed, but Tommen is too young for Margaery's previous tactics of sexual seduction to be very useful. Soon after Joffrey is assassinated, Margaery visits his younger brother and heir apparent Tommen in his bedchamber, hoping to befriend him before Cersei can turn him against her. The cat manages to evade her and runs down into the dungeons, causing Arya to stumble upon a secret conversation between Varys and Illyrio Mopatis. The next day Arya chases a cat through the Red Keep, attempting to gently catch it. Her instructor Syrio Forel told her that every swordsman should study cats, because they are quiet, light on their feet, and quick. Ser Pounce - pet cat of King Tommen BaratheonĪrya explains to her father that she will be chasing cats as part of her water dance training.With all the stories we gain of the Tourney at Harrenhall over the course of the books from many different perspectives I feel like someone would have noted that Lyanna Stark wasn't present for the jousting. In turn I find it hard to believe that anyone would have won without jousting experience. Even though she was like Arya and probably had some practice in swordplay I find it hard to believe that she would have had any jousting experience. She would have retained injuries in the jousting that would have been noticeable.Ī woman, however fierce going up against knights and winning is hard for me to believe. I ultimately decided that I didn't think it was her.Ī notable lady like Lyanna Stark missing from the tourney stands would cause people to wonder where she was. I was thinking that it could be Lyanna when reading it. I just reread that part of the books, I love how Jojen keeps asking Bran if he's sure he hasn't heard this story before. r/aSongOfMemesAndRage is best for these.Ĭonstructive parodies, theories, are allowed to an extent, at the moderators' discretion.įan Art should be posted in our weekly Friday Fan Art threads.Ħ. ![]() No silly posts, external funny links, memes, as new topics. Type it out or search for it on A Search of Ice and Fire.ĥ. We host monthly discussion hubs after the turn of each month for talking about the subreddit. New Topics must have a concrete focus on ASOIAF/GoT Topics with spoilers in titles will be removed. If your comment goes beyond a given thread's spoiler scope, cover the spoilers with the spoiler code: Be Respectful to Each Otherĭon't attack other posters, be rude, condescending, or insulting.ĭon't use spoilers, quotes, or rhetorical questions as weapons. Filter Topics by Spoiler Scope Frequently Asked Questions Subreddit Rules 1. Try not to set the spoiler scope higher or lower than necessary. ![]() Note: Choose the tag that is the best fit for the specific discussion of your topic. Infinite: Modposted Leak Quarantine Threads allowing for discussion of all rumors, spoilers, leaks, etc out there on the web. ![]() Production: (Extended) + NEXT season actor/filmmaker interviews that contain spoilers + unofficial NEXT season info/images/video not released by HBO Main: All published main series novels 卌, all aired TV episodes (GoT S1-S8 + HotD S1), Dunk & Egg (3), & histories (5)Įxtended: Everything in the marketplace including book canon, show canon, TWOW sample chapters, trailers, games, apps, SSM, relevant notablogs/interviews, and official NEXT season info/images/videos released by HBO TWOW: TWOW sample chapters and five previous novels All story information must be hidden.ĪGOT, ACOK, ASOS, AFFC, ADWD: All book information through the end of that novel. Removes Unofficial Game of Thrones Spoilers - Spoiler Tag Definitions Ongoing || (Main) Weekly Q&A archive (Ext) The Ultimate TWOW Resource (Apr 2021) (Ext) Apr 2023 Dunk&Egg update (Ext) Dec 2022 TWOW update | Analysis (Ext) Oct 2022 TWOW update (Ext) July 2022 TWOW update (Ext) June 2022 TWOW update (Ext) Mar 2022 TWOW update (Ext) Nov 2020 TWOW update (None) Open Letter Against Hate Production/Infinite Exclusion Filter Reset Filter Ongoing || (Ext) A Guide to ASOIAF Theories. Ongoing || (None) Resources for new readers. Martin's "A Song of Ice and Fire" novels, his Westeros-based short stories, "Game of Thrones" and "House of the Dragon" TV series, and all things ASOIAF - but with particular emphasis on the written series. News and discussions relating to George R. ![]() Little Caesars started the year out right by re-introducing their Pretzel Crust Pizza after a hiatus for a year. But those prices are almost as good as the giant soft pretzels you buy at the mall. The regular Pretzel Pizza is $6, while the Stuffed Pretzel Crust is $9. Both options are reasonable price-wise, and I’m not sure you could find a better deal. This new pie features a round soft pretzel crust pizza with a cheese-stuffed crust, and it also comes topped with cheddar cheese sauce, mozzarella, muenster, and pepperoni. The chain also offers a Stuffed Pretzel Crust Pizza. Little Caesars didn’t stop with the Pretzel Pizza. Home of the $5 Hot-N-Ready Pizza, Little Caesars hit another home run with this Pretzel Crust Pizza. Instead of a regular pizza crust, the pizza is made with pretzel dough, and the pizza sauce is made with a rich, creamy cheddar cheese sauce instead of marinara. The idea was simple- take two things we all love and combine them for an unbeatable pizza we can’t pass up. Little Caesars first introduced the Pretzel Crust Pizza in 2014, a soft-crust pizza with cheddar cheese sauce, mozzarella and Muenster cheeses and pepperoni. Now let’s dig into this Little Caesars Pretzel Pizza review. Combining two things I love makes me a happy customer. The chain has recently reintroduced their Pretzel Crust Pizza, which is great news for people like me who go to the mall just for a slice of pizza and a giant hot pretzel. They must be doing something right as they’re the third-largest pizza chain in the world, with stores in each of the 50 U.S. Sure, their pizzas aren’t gourmet pies, but they’re an excellent value for the money. Little Caesars has made it their mission to offer ready-made pizzas with the best value at the best prices, and it seems like they continue to meet and exceed their goal. 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Packages offered here are subject to distribution rights, which means they may need to reach out further to the internet to the official locations to download files at runtime.įortunately, distribution rights do not apply for internal use. If you are an organization using Chocolatey, we want your experience to be fully reliable.ĭue to the nature of this publicly offered repository, reliability cannot be guaranteed. Human moderators who give final review and sign off.Security, consistency, and quality checking. ![]() ModerationĮvery version of each package undergoes a rigorous moderation process before it goes live that typically includes: Welcome to the Chocolatey Community Package Repository! The packages found in this section of the site are provided, maintained, and moderated by the community. |