27. A patient presents with acute onset of severe low back pain, unilateral flank pain, and hematuria. Imaging reveals a kidney stone obstructing the ureter. What is the technical pathophysiological mechanism causing the pain?

  • Direct inflammation of the renal parenchyma.
  • Distension of the renal capsule and ureteral spasm.
  • Ischemia of the kidney.
  • Nerve compression in the spinal cord.
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