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 Case #9 Doc, my side is killing me!
A 52 y/o male presents with sudden onset of left flank pain radiation to his left lower quadrant. He is diaphoretic, vomiting, and can’t get comfortable on
the bed. His vital signs reveal BP: 140/85, HR=105, RR = 20, Temp = 98.6F, Sat=96%. Your exam is challenging based on his degree of pain, but reveals only
Left CVA tenderness. You explain to the patient and family that you are concerned the patient may have a kidney stone, and will be ordering some tests and
giving some pain medication. The family has some questions:
1. What size stones usually pass spontaneously?
2. If it is a stone, what is the likelihood it will recur?
3. What is the best test to evaluate for kidney stones?
4. Is there anything else worse it could be?
Click here for answers and to respond
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Previous Articles
Cardiovascular (12/19/07)
Pediatric (12/12/07)
Neurologic (12/05/07)
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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