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Acute Flank Pain

Acute Flank Pain

A 34-y.o. female presents with the complaint of a sudden excruciating pain in her back and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10, with 10 being the worst. She also complains of nausea with the pain. She states that she has never had anything like this before, and the pain is subsiding a little now.

  1. What additional questions should you ask the patient and why?
  2. What should be included in the physical examination at this visit?
  3. What are the possible differential diagnoses at this time?
  4. What tests should you order and why?
  5. How should this patient be managed?

Submission Instructions:

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Acute Flank Pain

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APA

Acute Flank Pain

Case Analysis and Management for 34-Year-Old Female with Flank Pain

Additional Questions to Ask the Patient

When assessing this patient’s sudden and severe flank pain, gathering more information about her symptoms will aid in forming an accurate diagnosis. Key questions include:

  1. Pain Characteristics and Duration: “How long ago did the pain start?” “Is the pain constant, or does it come and go?” This helps assess if the pain is colicky, which is common in renal colic from kidney stones (Makris et al., 2020).
  2. Associated Symptoms: “Do you have any fever, chills, or burning sensation when urinating?” These can help identify possible pyelonephritis or a urinary tract infection. Acute Flank Pain
  3. Urinary Changes: “Have you noticed any blood in your urine or changes in the amount or frequency of urination?” Hematuria may indicate kidney stones, while changes in frequency could suggest an obstruction.
  4. Personal and Family History: “Have you or any family members had kidney stones or urinary issues?” A family history of kidney stones increases her risk (Pearle et al., 2021).
  5. Lifestyle and Diet: “What does your daily fluid intake look like?” Low fluid intake is a