1.The kidneys may be difficult to image because of their proximity to the ribs and to air in the bowel. What can you do to optimise scanning? Turn the patient in the lateral decubitus position Have the patient breath in . This will lower the liver on the right [...]
A 32 year old man presents with severe right flank pain after a drinking binge. He reports experiencing similar episodes for several years, with pain lasting from several hours to a few days. Interestingly, in the past, he abstained from alcohol for six weeks and remained completely symptom-free. He has: [...]
Clinical presentation: A 70 year old man with a background of metastatic colorectal cancer presents to the Emergency Department. He has a known large pelvic mass causing L ureteric obstruction, with a L ureteric stent in situ. He presents with 1 week of confusion and fevers. His blood tests [...]
A 55 year-old man with poorly controlled diabetes and bilateral renal transplants presents to the Emergency Department with a 6 day history of : Right upper quadrant pain and severe back pain Fever Nausea and vomiting lethargy and confusion On examination: Temperature: 37.5 Heart rate: 95/min Systolic BP of [...]
Case A 35-year-old man presents to the Emergency Department with sudden onset severe right flank pain radiating towards the groin. He reports intermittent "niggles" of pain over the previous week and now has microscopic haematuria on urine dipstick. After receiving NSAIDs and opioids, his pain settles and a focused [...]
A 32 year old man presents with right flank pain. He had an episode of renal colic 2 years ago and presented to the Emergency Department back then. He had a CT KUB done at the time which showed a small stone in his right VUJ and a larger [...]
