Last lecture of Urosurgery

15. A 45-year-old man presents with backache and leg pain due to a prolapsed lumbar intervertebral disc. The pain, which is aggravated by coughing and sneezing, radiates to the lateral aspect of the foot. On examination, there is weakness of the plantar flexors of the foot, which nerve root is most likely to be involved? (Sep 2016)

18. A 22-year-old man has been stabbed in the left fifth intercostal space at the edge of the sternum. Which structure is most likely to have been penetrated?

Supra renal AAA These patients will require a supra renal clamp and this carries a far higher risk of complications and risk of renal failure

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