A 32-year-old female attends the ED, she had a sudden onset of right loin pain yesterday evening that kept her awake all night, the pain is still present.
This is a IVU image, ordered by your junior doctor who asks you to explain what can be seen on the film.
First, take a careful look at the IVU image opposite. You can use the zoom facility to examine the detail.
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Refer to the IVU image on the previous page. Which of the following statements are correct?
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?
Which other non radiological tests are required?
The patient has three +++ white cells and ++ nitrates in her dipstick urine sample. Closer examination reveals a history of rigors and she is pyrexial at 38°C. She does not have a raised lactate.
What is your diagnosis?
Which of the following would you include in this patient’s management?