EM Cases · Renal colic and nephrolithiasis
Pyonephrosis — infected obstructed kidney resus station
ACEM Fellowship resus station testing recognition of infected obstructed system, sepsis resuscitation, antibiotic choice, and urgent stent/nephrostomy source control.
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Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
An older diabetic with flank pain who becomes febrile and hypotensive with hydronephrosis and pyuria — the decompression pathway.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References2ShowHide
- [1]Holdgate A, Pollock T. Systematic review of the relative efficacy of non-steroidal anti-inflammatory drugs and opioids for acute renal colic. BMJ (Clinical research ed.), 2004.PMID 15178585
- [3]Ali A, Akram F, Hussain S, et al. Non-Contrast Enhanced Multi-Slice CT-KUB In Renal Colic: Spectrum Of Abnormalities. Journal of Ayub Medical College, Abbottabad : JAMC, 2019.PMID 31535518