Page 1 of 1: renal colic

dinaridi · Credits: 2830 My Scrapbook

A 37-year-old woman presents to the Emergency Department with acute left lower quadrant pain that began 2 hours previously. The pain is similar to an episode of renal colic which she had 5 years ago. Physical examination shows left costovertebral tenderness, left lower quadrant tenderness, and fever (38.7°C). Urinalysis reveals many white blood cells, red blood cells, bacteria, and pyuria. The most important objective in the treatment of this patient is to avoid
1) enlargement of the stone.
2) generalized sepsis.
3) rupture of the ureter with extravasation.
4) intractable pain.
5) surgical procedure.

H2O · Credits: 3488 My Scrapbook

1) enlargement of the stone

rk1972 · Credits: 1081 My Scrapbook

A 37-year-old woman presents to the Emergency Department with acute left lower quadrant pain that began 2 hours previously. The pain is similar to an episode of renal colic which she had 5 years ago. Physical examination shows left costovertebral tenderness, left lower quadrant tenderness, and fever (38.7°C). Urinalysis reveals many white blood cells, red blood cells, bacteria, and pyuria. The most important objective in the treatment of this patient is to avoid
1) enlargement of the stone.
2) generalized sepsis.
3) rupture of the ureter with extravasation.
4) intractable pain.
5) surgical procedure.

iffat7865 · Credits: 843 My Scrapbook

2) generalized sepsis

tama · Credits: 2025 My Scrapbook

generalized sepsis

rk1972 · Credits: 1081 My Scrapbook

I thought we the main complication ofinappropriate treat of acute pyelonephritis is Nephrectomy

!!!

maryana · Credits: 7940 My Scrapbook

Sepsis?

bloater · Credits: 1258 My Scrapbook

Immediate consideration of priority is that she has infected stone. Surgery is not a reasonable option right now. Prevention of sepsis is mandatory. She needs antibiotic treatment first. When infection resolved, decision of further stone management option selected.

cyst · Credits: 341 My Scrapbook

yeh i agree

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