Renal Colic in Emergency Medicine Case 2
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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Question 1 of 5
1. Question
Refer to the IVU image on the previous page. Which of the following statements are correct?
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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
Which other non radiological tests are required?
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Question 4 of 5
4. Question
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?
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Question 5 of 5
5. Question
Which of the following would you include in this patient’s management?
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