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42 y.o. male who presents with right flank pain, nausea and vomiting. The patient has been hiking and camping for the last 2 days. He was in his normal state of health until 2 days ago when he developed sudden onset of right flank pain. Since then he has been unable to hold any fluids down. His vitals are: BP 120/62, HR 110, RR 18, T 37.0, Pulse Ox – 98%.
Your resident performs a renal ultrasound…...
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