61-Year-Old Man With Back Pain, Hematuria, and Lower Extremity Edema
A 61-year-old man with a medical history of coronary artery disease and symptomatic urolithiasis presented to the emergency department with new onset gross hematuria and 3 months of low back pain, urinary symptoms, and lower extremity edema. He described the back pain as throbbing and 8/10 in severity. The back pain was in the midline, lower thoracic area with radiation down both legs and to his left flank. The pain was worse when lying flat and improved when sitting in a chair. Acetaminophen, ibuprofen, transcutaneous electrical nerve stimulation, and chiropractic intervention did not provide relief.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Bradly A. Kimbrough, Elida R. Voth, Jason H. Szostek Tags: Residents ’ clinic Source Type: research
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