Ken is a 42-year-old male who presented to the ER complaining of severe flank pain on and off for the past six hours. He is complaining of fever and chills along with nausea, but has not vomited as yet. He also reports difficulty with voiding, stating that “It feels like I have to urinate, but when I try, I only pass a small amount of urine and there is some blood in it.” He describes the pain as a sharp, stabbing type of pain that started in his lower back on the left side and then traveled around to the front and down into his groin area. He has taken two doses of ibuprofen 400 mg with minimal relief. 1. Based on Ken’s symptoms described above, what diagnosis is most likely in this case? 2. Based on Ken’s symptoms, explain what most substantiates the diagnosis? 3. What other relevant information might there be in Ken’s past history, social history, and family history that could assist the ER physician in supporting the diagnosis?(Must answer with 6 possible outcomes) 4. What diagnostic tests would you expect the ER physician to order? What results would likely be found for each test? (Must answer with 4 and 4 possible outcomes) 5. How can Ken’s condition be managed or treated? Include a brief explanation as to why this type of management or treatment would be effective or necessary.(Must answer with 4 and 4 possible outcomes)
Ken is a 42-year-old male who presented to the ER complaining of severe flank pain on and off
for the past six hours. He is complaining of fever and chills along with nausea, but has not
vomited as yet. He also reports difficulty with voiding, stating that “It feels like I have to
urinate, but when I try, I only pass a small amount of urine and there is some blood in it.” He
describes the pain as a sharp, stabbing type of pain that started in his lower back on the left
side and then traveled around to the front and down into his groin area. He has taken two
doses of ibuprofen 400 mg with minimal relief.
1. Based on Ken’s symptoms described above, what diagnosis is most likely in this case?
2. Based on Ken’s symptoms, explain what most substantiates the diagnosis?
3. What other relevant information might there be in Ken’s past history, social history, and
family history that could assist the ER physician in supporting the diagnosis?(Must answer with 6 possible outcomes)
4. What diagnostic tests would you expect the ER physician to order? What results would
likely be found for each test? (Must answer with 4 and 4 possible outcomes)
5. How can Ken’s condition be managed or treated? Include a brief explanation as to why this
type of management or treatment would be effective or necessary.(Must answer with 4 and 4 possible outcomes)
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