flank pain

Question 1

A-E for flank pain ?

Answer 1

A

B -

c - I would perform a 12 lead ECG and attach continuous 3 lead ECG monitoring.

D

E- examine the patient’s abdomen to assess for any flank tenderness, right upper quadrant tenderness and for peritonism. I would also like to assess for any skin or joint changes or source of infection.

Question 2

dd for flank pain?

Answer 2

pyelonephritic
ectopic pregnancy
appendicitis
cholecystis
gastroenteritis
acute pancreatitis

Question 3

INVESTIGATION FOR FLANK PAIN

Answer 3

Bedside: I would perform an ECG, check a pregnancy test, and also send a urine sample for microscopy & culture. I would also send COVID swabs.

Bloods: full bloods including cultures, VBG, FBC, UE, LFT, Bone prof Coag, CRP, amylase

Imaging: I would like to arrange an erect chest X ray, consider an ultrasound of abdomen / kidneys or transvaginal ultrasound if concerned for ectopic pregnancy.

If concerned about surgical pathology such as bowel obstruction may consider a CT abdomen & pelvis under specialist guidance.

administer analgesia and antipyretics

Question 4

What do you understand by the term ‘antimicrobial stewardship’ and the importance of antimicrobial selection for global public health?

Answer 4

Antimicrobial resistance