Document Detail

Considerations in the diagnosis and therapy for acute loin pain.
MedLine Citation:
PMID:  19371555     Owner:  NLM     Status:  MEDLINE    
The clinical presentation of acute onset of nausea, vomiting, and flank pain in combination with acute elevation of blood pressure should raise high suspicion of renal infarction. However, because of its nonspecific presentation, diagnosis may be delayed. We report the case of a 63-year-old man who presented with a 2-day history of right flank pain that was treated initially as a renal stone. He had a background history of atrial fibrillation. Further investigations confirmed this as a case of renal infarction. Renal infarction is underdiagnosed because of the similarity of its presentation to other renal pathology. Renal infarction should be considered in the differential diagnosis of loin pain, particularly in a patient with atrial fibrillation.
Graham Roche-Nagle; Bary B Rubin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-04-17     Completed Date:  2009-05-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  254.e3-4     Citation Subset:  IM    
Department of Vascular and Endovascular Surgery, Toronto General Hospital, Toronto, ON, Canada M5G 2C4.
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MeSH Terms
Atrial Fibrillation / complications*
Diagnosis, Differential
Flank Pain / etiology*,  therapy
Infarction / complications,  diagnosis*,  therapy
Kidney Diseases / complications,  diagnosis*,  therapy
Middle Aged
Tomography, Spiral Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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