USMLE Forum Archives - USMLE Step 3 - IM- Flank Pain
IM- Flank Pain
harry206 - 06-06-09 03:05
A 35-year-old woman comes to the emergency department because of sharp left flank pain that radiates down her back. She reports that the pain is a 10 out of 10 in severity and is coming in waves. Her temperature is 37.2 C (99.0 F) and blood pressure is 140/88 mm Hg. On physical examination, she is extremely uncomfortable, lying in a fetal position. Abdominal examination reveals intermittent guarding, normal bowel sounds, and no evidence for distention. Plain radiograph of the abdomen is normal. Urinalysis shows:
PH 7.2
Glucose- neg
Protein- Neg
WBC- 0-1/hpf
RBC- 30/hpf
The most appropriate next step is to give
harry206 - 06-06-09 03:05
A 35-year-old woman comes to the emergency department because of sharp left flank pain that radiates down her back. She reports that the pain is a 10 out of 10 in severity and is coming in waves. Her temperature is 37.2 C (99.0 F) and blood pressure is 140/88 mm Hg. On physical examination, she is extremely uncomfortable, lying in a fetal position. Abdominal examination reveals intermittent guarding, normal bowel sounds, and no evidence for distention. Plain radiograph of the abdomen is normal. Urinalysis shows:
PH 7.2
Glucose- neg
Protein- Neg
WBC- 0-1/hpf
RBC- 30/hpf
The most appropriate next step is to give
The correct answer and explanation will be available after you answer.
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#15
Re: IM- Flank Pain babbu5508 - 09-30-10 14:06 My answer is: e.
the patient is suffering from renal colic..an ultrasound is the best method for diagnosing the renal stones......
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