Browse by Tags

• Advanced
• Beginner
• Intermediate
• kidney
• OB
• Pelvic
• Pregnancy
• UTI

• Case of the Week - Case # 71

  38-year-old female presents with right flank pain and vomiting. You are concerned she has a ureteral stone. You perform a bedside ultrasound and note the following...... Posted Apr 12 2008, 04:44 AM by Rob with | with no comments Filed under: Renal, Intermediate, kidney

• Case of the Week - Case # 60

  A 44-year-old female presented to the ED with several day history of left flank pain, fever and malaise. The patient relates a history of recurring UTIs but is on no antibiotic prophylaxis and denies history of recent hospitalization. Her vitals signs are stable and she is noted to have a temperature of 100.8 F. Her physical examination is only significant for left CVA tenderness. Urinalysis reveals: >100 WBCs, 30-100 RBCs, large bacteria and a pH of 8.5. Her creatinine was 1.3 and her WBC was 18.4. You perform a focused left renal ultrasound and note the following...... Posted Jan 23 2008, 06:58 PM by Rob with | with 1 comment(s) Filed under: Renal, Intermediate, kidney, UTI

• Case of the Week - Case # 51

  58-year-old male presents with nontraumatic right sided pain for the past 2 days. He points to the midaxillary line starting at @ the 8th intercostal space and extending caudal to the infracostal margin. He denies hematuria, fever, chills, n-v-d, fatty food intolerance, chest pain or dyspnea. His vital signs are stable. His CBC and BMP are unremarkable and his urinalysis reveals no evidence of hematuria or pyuria. You are concerned that the patient may have an obstructing ureteral stone on the right. You perform a focused renal ultrasound and note the following...... Posted Nov 16 2007, 09:21 PM by Rob with | with no comments Filed under: Renal, Intermediate

• Case of the Week - Case # 48

  A 26-year-old female who is 9.5 weeks pregnant by dates presents with right flank pain and vomiting. She denies fever, chills, hematuria, vaginal bleeding. Other than being pregnant, her PMH is unremarkable. On examination she appears mildly dehydrated but her vitals are stable. You are concerned that this patient has a kidney stone. You perform a bedside ultrasound and note the following...... Posted Oct 24 2007, 02:27 PM by Rob with | with no comments Filed under: Renal, Beginner, OB

• Case of the Week - Case # 47

  28-year-old male with ESRF on HD presents with bilateral flank pain and concern for obstruction. Pt states his renal failure is due to childhood obstruction due to posterior urethral valves. He believes that his last CT scan showed small kidneys but no evidence of obstruction. The patient appears comfortable on the cart. His vitals are stable and he is afebrile. His urinalysis reveals no evidence of hematuria or pyuria. ... Posted Oct 15 2007, 01:39 AM by Rob with | with no comments Filed under: Renal, Intermediate

• Case of the Week - Case # 39

  28 yo hispanic female presents with acute right flank pain. She has no past medical history and her vital signs are stable. You are concerned that the patient has a kidney stone and you have the resident perform a bedside ultrasound. The resident tells you that she doesn't see any evidence of hydronephrosis. You go in and perform the scan yourself. ... Posted Aug 13 2007, 11:41 AM by Rob with | with no comments Filed under: Renal, Beginner

• Case of the Week - Case # 28

  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…... Posted May 26 2007, 02:59 PM by Rob with | with no comments Filed under: Renal, Intermediate

• Case of the Week - Case # 24

  A 7-year-old black female presents with severe right mid-abdominal tenderness that started at school and was associated with several episodes of vomiting. She was transported to the ED via EMS. On exam, the child was in obvious distress due to pain and did not want you to touch her abdomen. Her vitals signs were stable other than a mild tachycardia and she was afebrile. You perform a focused appendix ultrasound (not shown) and a focused renal ultrasound.... Posted Apr 25 2007, 06:34 PM by Rob with | with no comments Filed under: Renal, Beginner

• Case of the Week - Case # 20

  28 month old male presents with a history of no urine output for 36 hours. The patient has a PMH of chronic reflux nephropathy and underwent surgical correction one year ago. He was admitted one month later with an episode of urinary retention and was found to have a urethral stricture. On physical examination, the patient has diffuse lower abdominal tenderness. You perform an ultrasound of the patient’s bladder ...... Posted Mar 21 2007, 12:00 AM by Rob with | with no comments Filed under: Renal, Intermediate

• Case of the Week - Case # 6

  A 27-year-old female without PMH who is pregnant (19w4d by dating from a 1st trimester OB ultrasound) presents with right flank pain and vomiting. She was initially sent to L&D triage but is sent back to the ED since she is under 20 weeks. Her vitals... Posted Dec 06 2006, 12:00 PM by Rob with | with no comments Filed under: Renal, Pelvic, Beginner, Intermediate, OB, UTI, Pregnancy

• Clinical Case # 4

  44-year-old female presents with right flank pain of two-months duration. She was diagnosed with pyelonephritis six weeks earlier and urine culture revealed E. coli. The patient could not afford the antibiotics and therefore has not been treated. She relates having fevers on and off, chills and cloudy urine. Her vitals are stable...... Posted Nov 22 2006, 05:05 PM by Rob with | with no comments Filed under: Renal, Intermediate, Advanced, UTI