Unilateral flank pain Flashcards
53 yo male with unilateral flank pain radiating to lower abdomen. Pain began suddenly today and is not relieved by postural changes or acetaminophen. The pain radiates to his groin and is aggravated by urination. He also noticed that he is urinating more frequently. A urine dipstick test reveals microhematuria, but now leukocytes. If the patient were female, what other conditions would you consider? List two.
Ovarian torsion
Ovarian cyst
Ectopic pregnancy
53 yo male with unilateral flank pain radiating to lower abdomen. Pain began suddenly today and is not relieved by postural changes or acetaminophen. The pain radiates to his groin and is aggravated by urination. He also noticed that he is urinating more frequently. A urine dipstick test reveals microhematuria, but now leukocytes. What is the most likely diagnosis?
Nephrolithiasis (renal colic)
53 yo male with unilateral flank pain radiating to lower abdomen. Pain began suddenly today and is not relieved by postural changes or acetaminophen. The pain radiates to his groin and is aggravated by urination. He also noticed that he is urinating more frequently. A urine dipstick test reveals microhematuria, but now leukocytes. What diagnostic imaging modalities would you consider to confirm your diagnosis? List two.
Plain film radiography of the kidney, ureter, bladder
Abdominal Ultrasonography
Non-contrast Abdominal Computed Tomography
Intravenous contrast pyleography
In a patient with nephrolithiasis (renal colic). Initial analgesic treatment might include the following; name the class of medication:
Non-steroidal anti-inflammatory drugs
Narcotic/Opioid analgesic
53 yo male with unilateral flank pain radiating to lower abdomen. Pain began suddenly today and is not relieved by postural changes or acetaminophen. The pain radiates to his groin and is aggravated by urination. He also noticed that he is urinating more frequently. A urine dipstick test reveals microhematuria, but now leukocytes. What is the differential diagnosis? List THREE.
Appendicitis Cholecystitis Diverticulitis Colitis Constipation Inguinal/Femoral hernia Arterial Aneurysm Renal or ureteral tumor Testicular processes (tumor, epididymitis, prostatitis) Nephrolithiasis (renal colic)
