Asymptomatic adults with medullary sponge kidney. Advise patients about the benign nature of medullary sponge kidney, and inform them about the possibility of renal calculi and urinary tract infections (UTIs) due to the condition.
The switch lunge which is plyometric exercise you are going to actually jump off the floor leaping contact. So you are going to start again lunging position, hands on your hips, navel to spine, knees over ankles and push yourself off of the floor and switch. Very good. Perfect.
Lunging/charging (not to be confused with lunge feeding) is when a whale charges at another whale as a way to assert their dominance and status among the group or in some cases it may be seen as a form of play. Tail/fluke slapping. In some cases whales may be observed slapping their flukes against the water. This can be done for several reasons.