Scenario
A 46 year old man presents with one hour of severe left sided abdominal pain, radiating to the left loin. An abdominal CT scan reveals a 6 mm stone in the lower third of the left ureter with a mild hydronephrosis.
Question
Discuss the analgesic and other treatment options in this patient. (100%)
Answer
FACEM SAQ Exam 2008.2 – Question 3
- The overall pass rate for this question was 71/81 (87.6%).
- Pass Criteria
- The examiners felt that the question may have been somewhat ambiguous in that the current pain status of the patient was not explicit.
- Strong answers required a discussion of the pros and cons of currently available pharmacological agents, criteria for admission and consideration of possible urological interventions.
- Features of unsuccessful answers
- Poor answers failed to address the above issues or failed to address the question.
About Mike Cadogan
