Author: Abdullah Lashrf / Editor: Nick Tilbury / Codes: PC1, SLO1, SLO3, SLO7, UP5, UP6 / Published: 27/09/2024
A 30-year-old male patient is brought to the Emergency Department (ED) by ambulance following a sudden onset severe right flank pain over the previous 6 hours. He also had a single episode of frank haematuria, which appears to have resolved. He denies any dysuria, fever or rigors.
He was given 10 mg IV morphine by the paramedics 30 minutes ago but remains in severe pain.
He has no relevant past-medical history.
On examination, the patient is tachycardic with a heart rate of 110 beats per minute (BPM) and deep tenderness in the right loin. No guarding, rigidity, or masses are detected. His urine dip shows microscopic Haematuria with no other significant findings. He has no allergies. You gave him intravenous ketorolac as per local protocol.
10 responses
Great Learning
very good
great presentation
Renal infarction was new to learn as differential for renal colic. Nice piece of information
Informative
Something new to learn, thank you
great learning
This was a very good eye opener for differentials of Renal colic
Yes it is indeed.
Nice revision on renal infarction.