When you suspect kidney stones
When do you get a CT scan? I've heard and seen everything from: always, first time they've had stone, systemically ill, hydronephrosis on bedside ultrasound. I've also seen people with mild hydro and suspected stone go home. The practice pattern varies wildly and I'm trying to gain a better understanding of what is important and what is not. What do you look for, what are your red flags, when do you scan? (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2017 Category: Universities & Medical Training Authors: iaskdumbquestions Source Type: forums

Case discussion
I want to open a discussion about a case I feel one of the challenging ones I've seen. 81 year old patient came 2 days ago to the ER with renal colic and a hydronephrosis on the right side and urosepsis was diagnosed. Pre-existing ilnesses: chr. renal failure stage 4, chr. heart failure NYHA 2, multiple heart valve insufficiency. Antibiotics (Cefuroxim) was started after taking blood cultures which showed presence of E.coli. Yesterday morning noradrenaline per pump with a rate of 0.5... Case discussion (Source: Student Doctor Network)
Source: Student Doctor Network - August 27, 2016 Category: Universities & Medical Training Authors: Dr-Junior Source Type: forums