Case 1
A 27-year-old male attends the ED. He is a foundation year 2 doctor in the special care baby unit. He states he is in agony at triage and cannot sit still in the waiting room. He is complaining of severe right sided abdominal and loin pain. He is apyrexial with a heart rate of 102 and a blood pressure of 115/78.
He was previously fit and well and has no allergies. His abdomen is difficult to assess as he will not sit still and is crying and sweating.
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Question 1 of 5
1. Question
Considering the patient’s history, which of the following are differential diagnoses?
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Question 2 of 5
2. Question
The picture is one of renal colic with the pain radiating to the tip of the penis. What are the initial management steps for this patient?
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- Analgesia NSAID preferably IV access Antiemetic fluids if required Urine sample for analysis CT KUB or IVU
- Oral Paracetamol Ultrasound generators and transducers (UGT Blood culture
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Appropriate Steps
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Inappropriate Steps
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Question 3 of 5
3. Question
If the patient’s pain ceases in the department, prior to taking an IVU/CT KUB, which of the following is the correct response?
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Question 4 of 5
4. Question
The pain remains some 30 minutes after a CT KUB which identifies that no stone is present. What are the possible explanations for this?
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Question 5 of 5
5. Question
Which of the following are indications for admitting patients with renal colic?
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