MedBugs: SAQ #250

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Case: Presumed renal colic

A 75-year-old man is referred by his GP for presumed renal colic. He has worsening flank pain and is now pale. Vitals: HR 110/min, BP 95/70, RR 24, SpO2 97% RA, Temp 37°C. Past history includes renal colic, hypertension, hypercholesterolaemia and smoking. POCUS for shock is negative. A screening AAA scan is performed.

1. Label the structures A, B and C on the ultrasound image. 3 marks

You have scanned further down the aorta and gained the following image of the mid-aorta.

2. State your findings on the mid-aorta scan. 2 marks

3. What is the likely diagnosis in this patient and what is your immediate management? 5 marks

4. What are the specific treatment options for this condition? 2 marks

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Case: Presumed renal colic

1. Label the structures A, B and C on the ultrasound image. 3 marks

2. State your findings on the mid-aorta scan. 2 marks

3. What is the likely diagnosis in this patient and what is your immediate management? 5 marks

4. What are the specific treatment options for this condition? 2 marks

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