Surgery & perioperative · History + examination

Acute left loin pain

Easy

15 min station · 2 min reading · Recommended for Curtin Year 4 students

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G T W S

2 min reading · 15 min station · reminders at 2 min

Instructions

You are a medical student on placement in the emergency department. Your next patient is Sione Latu, 29, presenting with severe left loin pain.

  1. Take a focused history

  2. Perform an abdominal examination

  3. Outline to the examiner:

    • Your findings
    • Your interpretation of the results
    • Your most likely diagnosis and differentials
    • Next steps in management, including relevant investigations

Urinalysis

Urinalysis
ItemValueReference range
Leucocytesnegativenegative
Nitritesnegativenegative
Proteintracenegative
Blood3+negative
Glucosenegativenegative
Ketones2+negative
pH6.05.0-8.0
Specific gravity1.0301.005-1.030
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Investigations

Examination

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