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.
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