HKCEM College Tutorial. A man with flank pain. author Dr TW Wong Revised by Dr. Li Yu Kwan May 2013. Triage . M 65 R flank pain for one day DM, HT Fu GOPD BP 160/100 P 100/min Temp 37.5° C. Triage Category III. What would you like to know in the history?. A B C is stable.
Triage Category III
A B C is stable
What to look out for?
Narcotic e.g. Tramadol, Pethidine
NSAID e.g. Toradol
You can choose your scenario now:
Your provisional dx? Your next step?
Pain has decreased, disposition?
Your provisional dx and next step?
How to rule out complete obstruction?
Dilatation of renal pelvicalyceal system suggestive of mild to moderate left hydronephrosis
Severe hydronephrosis with cortical thinning
papillary necrosis (DM)
Your provisional dx and action?
What should you do now?
What Ix will you perform now?
8 cm x 10 cm
All elderly patients presenting with flank pain or renal colic should have AAA ruled out by US!
Any clues from KUB?
Get your senior!
Inform surgical on-call
Prepare for OT
We have covered: