10-20-2008, 04:06 AM
A 35-year-old woman comes to the emergency department because of sharp left flank pain that radiates down her back. She reports that the pain is a 10 out of 10 in severity and is coming in waves. Her temperature is 37.2 C (99.0 F) and blood pressure is 140/88 mm Hg. On physical examination, she is extremely uncomfortable, lying in a fetal position. Abdominal examination reveals intermittent guarding, normal bowel sounds, and no evidence for distention. Plain radiograph of the abdomen is normal. Urinalysis shows:ph-7.2
gluc and pro -
micro-30rbc and 1 wbc
The most appropriate next step is to give
A. a CT scan of the abdomen and pelvis
B. a culture of the urine
C. the patient pain medications and advise her to return to the emergency department if the pain does not subside
D. a plain radiograph of the thoracic and lumbar spine
gluc and pro -
micro-30rbc and 1 wbc
The most appropriate next step is to give
A. a CT scan of the abdomen and pelvis
B. a culture of the urine
C. the patient pain medications and advise her to return to the emergency department if the pain does not subside
D. a plain radiograph of the thoracic and lumbar spine