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Quick Cases Starr Knight Faculty Meeting September 8, 2015

Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

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Page 1: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Quick Cases Starr Knight

Faculty Meeting September 8, 2015

Page 2: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #1

• 47 ♂ with L flank and LLQ pain x 4 days

• Recently Dx’d with L Proximal Ureteral Stone 2 days prior on CT

• Pt reports pain is worse despite meds

Page 3: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #1

Page 4: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #1

Page 5: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #1

Page 6: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #2

• 38 ♀with acute onset L flank pain radiating to LLQ

• No PMHx

• No prior surgeries

Page 7: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #2

Page 8: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #2

Page 9: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #3

• 47 ♂ with acute onset R flank pain radiating to RLQ

• No PMHx

• No prior surgeries

Page 10: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #3

Page 11: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #3

Page 12: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #4

• 53 ♂ with acute onset L flank pain radiating to LUQ

• No PMHx

• No prior surgeries

Page 13: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #4

Page 14: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #4

Page 15: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Case #4

Page 16: Fac Mtg Sept 2015- Renal · Case #2 • 38 ♀with acute onset L flank pain radiating to LLQ ... • Scan BOTH Kidneys for comparison ... 2 sep 2015 / 03:24 20. ESCALANTE, DORI Kidney

Take Home Points• Include Bladder View with ALL Renal Scans

• Look for UVJ Stone

• Lack of Jets is secondary

• Scan BOTH Kidneys for comparison

• Fan through each Kidney

• LABEL your Scans