Clinical Quiz

A Man With Worsening Abdominal and Pelvic Pain

A 60-year-old man with a history of diabetes mellitus type 2 presented to the emergency department with 3 weeks of worsening lower abdominal and pelvic pain. On arrival, he was febrile (38.9˚C) with a white blood cell count of 20,000. He had tachycardia and was hypotensive. He was stabilized with fluid resuscitation. A computed tomography…

Flank Pain and Hematuria in a 69-Year-Old Man

A 69-year-old man with a past medical history of hyperlipidemia presented to the emergency department with severe right flank pain lasting 1-2 days. His vital signs were within normal limits; white count was 8 × 109/L and creatinine was 0.8 mg/dL. Urinalysis shows only red blood cells. His pain is now well controlled with oral…

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