Kidney Stones
Urinary Nephrolithiasis
What it is
A kidney stone is a small, hard pebble that forms when minerals in the urine (often calcium) become too concentrated and crystallize. Trouble starts when a stone leaves the kidney and gets stuck in the ureter, the narrow tube to the bladder.
What's happening
The stuck stone blocks urine like a cork in a pipe. Urine keeps being made, so it backs up and stretches the kidney and ureter. That stretching, plus the ureter squeezing to push the stone along, is what hurts.
Symptoms
- Sudden, severe waves of pain in the flank/side that may radiate to the groin
- Pain so intense it's hard to sit still ("writhing")
- Blood in the urine (pink, red or brown)
- Nausea, vomiting, frequent urge to pee
Gallstones
Digestive Cholelithiasis
What it is
Gallstones are hardened lumps (usually cholesterol) that form in the gallbladder, the small pouch under the liver that stores bile — the fluid used to digest fat.
What's happening
After a fatty meal the gallbladder squeezes to push bile out. If a stone plugs the exit, the gallbladder contracts against a blockage. That cramping pressure causes pain; if the blockage lasts, the wall becomes inflamed and infected (cholecystitis).
Symptoms
- Pain in the upper-right belly, often after fatty food
- Pain that can spread to the right shoulder blade
- Nausea and vomiting
- Bloating and indigestion
Deep Vein Thrombosis
Vascular DVT
What it is
DVT is a blood clot that forms in one of the deep veins, usually in the calf or thigh. Veins carry blood back toward the heart, so a clot here dams the return flow.
What's happening
Blood that sits still (long flights, bed rest, surgery), is extra sticky, or flows through a damaged vein wall can clot. The clot plugs the vein; blood and fluid pool below it, swelling the limb. The danger is a piece breaking off and travelling to the lungs.
Symptoms
- Swelling in one leg (often the calf)
- Aching or cramping pain, often worse standing
- Warmth and red or darkened skin over the area
- The leg may feel tight or heavy
Pulmonary Embolism
Respiratory PE
What it is
A pulmonary embolism is a blockage in one of the arteries of the lungs, almost always caused by a clot that broke loose from a deep vein elsewhere (commonly the leg) and travelled up through the heart.
What's happening
The lungs add oxygen to blood. When a clot plugs a lung artery, blood can't reach that section to pick up oxygen, and the heart suddenly has to push against a blocked pipe. A large clot can strain the heart dangerously.
Symptoms
- Sudden shortness of breath
- Sharp chest pain, often worse with a deep breath
- Fast heartbeat
- Coughing, sometimes with blood; light-headedness or fainting
Aortic Dissection
Vascular Torn aorta wall
What it is
The aorta is the large artery carrying blood out of the heart. In a dissection, the inner lining tears and blood is forced into the wall itself, splitting its layers apart.
What's happening
Blood under high pressure drives between the wall layers, creating a false channel. This weakens the aorta (it can rupture), and the flap can block branches feeding the heart, brain, or organs — starving them of blood.
Symptoms
- Sudden, severe chest or upper-back pain, often described as "tearing" or "ripping"
- Pain that may move as the tear extends
- A big difference in blood pressure or pulse between arms
- Fainting, stroke-like symptoms, or sudden collapse
Abdominal Aortic Aneurysm
Vascular AAA
What it is
An aneurysm is a balloon-like bulge where an artery wall has weakened. In an AAA it's the section of the aorta running through the belly that stretches outward.
What's happening
Years of wear (high blood pressure, smoking, aging) weaken the wall. Under constant pressure the weak spot stretches wider — and like an over-inflated balloon, a larger, thinner wall is closer to bursting. Most cause no symptoms until they leak or rupture.
Symptoms
- Often silent — found by chance on a scan
- Sometimes a deep, throbbing feeling in the belly
- Steady pain in the belly, flank, or lower back
- A pulsing lump near the navel
Heart Attack
Cardiac Myocardial infarction
What it is
The heart is a muscle, and it has its own supply pipes — the coronary arteries — running across its surface. A heart attack is a sudden blockage of one of these arteries.
What's happening
A fatty deposit in the artery wall cracks open, and a blood clot forms on top, plugging the pipe. The muscle beyond it stops getting oxygen and starts to die. Restoring flow fast ("time is muscle") limits the damage.
Symptoms
- Chest pressure, tightness or heaviness (may feel like a band)
- Pain spreading to the arm, jaw, neck or back
- Shortness of breath, cold sweat, nausea
- Symptoms can be subtler in women, older adults and people with diabetes
Ischemic Stroke
Neurological "Brain attack"
What it is
An ischemic stroke is a sudden loss of blood supply to part of the brain, usually because a clot blocks a brain artery. (A less common type is a bleed.) Brain cells need a constant blood supply and fail quickly without it.
What's happening
With the artery blocked, the affected brain region stops working — and within minutes to hours those cells begin to die. Because different areas control different functions, the symptoms point to where the blockage is.
Symptoms — remember FAST
- Face drooping on one side
- Arm weakness, often one-sided
- Speech slurred or garbled
- Time to call emergency services — act fast
Appendicitis
Digestive Inflamed appendix
What it is
The appendix is a small, finger-shaped dead-end pouch attached to the start of the large intestine, low on the right side of the belly. Appendicitis is when it becomes blocked, inflamed and swollen.
What's happening
When the appendix's opening gets blocked (by hardened stool, swelling, rarely a seed), pressure builds inside, bacteria multiply, and the wall inflames. If untreated it can burst, spilling infection into the belly.
Symptoms
- Pain that often starts around the navel, then shifts to the lower-right belly
- Pain worse with movement, coughing, or pressing then releasing
- Loss of appetite, nausea, vomiting
- Low-grade fever
Diverticulitis
Digestive Inflamed pouches
What it is
Over time, small pouches (diverticula) can balloon out through weak spots in the wall of the large intestine — very common with age and usually harmless. Diverticulitis is when one of these pouches becomes inflamed or infected.
What's happening
A pouch gets blocked or its thin wall is irritated; bacteria build up and the area inflames. This can stay localized, or progress to a small abscess or a tiny perforation that leaks into the belly.
Symptoms
- Pain in the lower-left belly (sometimes constant for days)
- Fever and feeling generally unwell
- Change in bowel habit — constipation or diarrhea
- Bloating, nausea
Bowel Obstruction
Digestive Blocked intestine
What it is
A bowel obstruction is a blockage that stops food, fluid and gas from passing through the intestine. Common causes include scar tissue from past surgery (adhesions), hernias, and tumors.
What's happening
Above the blockage, contents and gas pile up and stretch the bowel, which then can't move things along. The trapped, swollen bowel causes cramping pain and vomiting; if its blood supply gets pinched, the wall can be damaged.
Symptoms
- Cramping belly pain that comes in waves
- A bloated, distended belly
- Vomiting (which may smell feculent in low blockages)
- Inability to pass gas or stool
Inguinal Hernia
Abdominal wall Groin hernia
What it is
A hernia is when an internal part — usually a loop of intestine — pushes through a weak spot in the muscle wall that's meant to hold it in. An inguinal hernia happens in the groin, the most common location.
What's happening
The groin has a natural channel that can become a weak point. Pressure from coughing, lifting or straining pushes a bit of bowel through, making a bulge. It often slides back in when lying down — but can become trapped.
Symptoms
- A bulge in the groin, more obvious when standing, coughing or straining
- An aching or dragging feeling in the area
- Bulge that may disappear when lying down
- Discomfort worse at the end of the day
Pneumothorax
Respiratory Collapsed lung
What it is
Your lungs sit in a sealed space and stay inflated thanks to a vacuum-like seal around them. A pneumothorax is when air leaks into that space, breaking the seal and letting the lung collapse.
What's happening
Air escapes — from a small bleb on the lung's surface bursting, or an injury — into the space between lung and chest wall. That trapped air takes up room and presses the lung down so it can't expand to breathe.
Symptoms
- Sudden, sharp, one-sided chest pain
- Shortness of breath that came on quickly
- Fast breathing and heart rate
- Sometimes follows a tall, thin build or chest injury
Ectopic Pregnancy
Reproductive Tubal pregnancy
What it is
In pregnancy, a fertilized egg normally travels down the fallopian tube and settles in the uterus. In an ectopic pregnancy it implants somewhere else — most often inside the narrow fallopian tube, which can't accommodate it.
What's happening
The pregnancy grows in a space far too small and not built to stretch. As it enlarges it can split the tube open, causing serious internal bleeding. This typically becomes apparent in the early weeks of pregnancy.
Symptoms
- One-sided lower belly or pelvic pain
- Vaginal bleeding or spotting, often with a positive pregnancy test
- Sometimes shoulder-tip pain (from internal bleeding irritating the diaphragm)
- Dizziness or faintness