Station - Instructions for candidate
You are a medical student on placement in the Emergency Department at Fiona Stanley Hospital.
Sione Latu, a 29-year-old man, presents to the Emergency Department with three hours of sudden severe left loin pain radiating towards the groin. The pain comes in waves, he has vomited, and he has been unable to lie still on the trolley.
Urinalysis
| Item | Value | Reference range |
|---|---|---|
| Leucocytes | negative | negative |
| Nitrites | negative | negative |
| Protein | trace | negative |
| Blood | 3+ | negative |
| Glucose | negative | negative |
| Ketones | 2+ | negative |
| pH | 6.0 | 5.0-8.0 |
| Specific gravity | 1.030 | 1.005-1.030 |
Your tasks are to:
- Take a focused history.
- Perform a focused examination.
- Interpret the urinalysis provided.
- Summarise your findings to the examiner with your most likely diagnosis and differential diagnoses.
- Outline your initial management plan to the examiner.
- Please verbalise your examination to the examiner; findings will be provided on request.
- You do not need to prescribe or write medication orders.
- Further investigations can be requested; the examiner will provide a result if it is appropriate.
This is a 15-minute station, with 2 minutes of reading time.