{"id":137369,"date":"2024-09-12T16:21:23","date_gmt":"2024-09-12T16:21:23","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137369"},"modified":"2024-09-12T16:21:25","modified_gmt":"2024-09-12T16:21:25","slug":"your-patient-has-complaints-of-severe-right-sided-flank-pain","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/your-patient-has-complaints-of-severe-right-sided-flank-pain\/","title":{"rendered":"Your patient has complaints of severe right-sided flank pain"},"content":{"rendered":"\n

Your patient has complaints of severe right-sided flank pain, nausea, vomiting and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140\/90 mmHg, Pulse 118 beats\/min., respirations 33 breaths\/minute, and temperature, 98.0F. Which subjective data supports a diagnosis of renal calculi?<\/p>\n\n\n\n

A.
History of mild flu symptoms last week.<\/p>\n\n\n\n

B.
Dark-colored coffee-ground emesis.<\/p>\n\n\n\n

C.
Pain radiating to the right upper quadrant.<\/p>\n\n\n\n

D.
Dark, scanty urine output.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is D. Dark, scanty urine output<\/strong>.<\/p>\n\n\n\n

Explanation<\/h3>\n\n\n\n

Renal calculi, or kidney stones, are hard deposits of minerals and salts that form inside the kidneys. They can cause severe pain and other symptoms when they move into the urinary tract. To diagnose renal calculi, it’s important to consider both subjective and objective data.<\/p>\n\n\n\n

Subjective Data Supporting Renal Calculi Diagnosis:<\/strong><\/p>\n\n\n\n

    \n
  • Severe Flank Pain:<\/strong> Pain associated with renal calculi is typically severe and can be described as colicky or crampy. It often begins in the flank region and may radiate to the lower abdomen or groin. The patient’s severe right-sided flank pain aligns with this.<\/li>\n\n\n\n
  • Nausea and Vomiting:<\/strong> Kidney stones can cause nausea and vomiting due to the intense pain and the body’s reaction to the obstruction.<\/li>\n\n\n\n
  • Restlessness:<\/strong> Patients may feel restless due to the severe pain and discomfort.<\/li>\n\n\n\n
  • Pale Appearance and Diaphoresis:<\/strong> These symptoms can result from pain and discomfort.<\/li>\n<\/ul>\n\n\n\n

    Objective Data Supporting Renal Calculi Diagnosis:<\/strong><\/p>\n\n\n\n

      \n
    • Vital Signs:<\/strong> Elevated pulse (118 beats\/min) and respirations (33 breaths\/min) can be indicative of pain or distress.<\/li>\n\n\n\n
    • Dark, Scanty Urine Output (Option D):<\/strong> This symptom is particularly relevant. When kidney stones are present, urine may become concentrated and dark due to reduced flow and the presence of blood or other debris. Scanty urine output is also common when stones obstruct urine flow. Dark urine can also be a sign of hematuria (blood in the urine), which is common with kidney stones.<\/li>\n<\/ul>\n\n\n\n

      The other options do not align as closely with the symptoms of renal calculi:<\/p>\n\n\n\n

        \n
      • A. History of mild flu symptoms last week:<\/strong> This is less relevant as it does not directly relate to the current acute symptoms of flank pain and nausea.<\/li>\n\n\n\n
      • B. Dark-colored coffee-ground emesis:<\/strong> This might indicate gastrointestinal bleeding rather than kidney stones.<\/li>\n\n\n\n
      • C. Pain radiating to the right upper quadrant:<\/strong> Pain from kidney stones typically radiates to the lower abdomen or groin, not the upper quadrant.<\/li>\n<\/ul>\n\n\n\n

        Therefore, dark, scanty urine output<\/strong> is the most indicative subjective data for diagnosing renal calculi, given its direct relationship with the urinary tract’s obstruction and the presence of stones.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Your patient has complaints of severe right-sided flank pain, nausea, vomiting and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140\/90 mmHg, Pulse 118 beats\/min., respirations 33 breaths\/minute, and temperature, 98.0F. Which subjective data supports a diagnosis of renal calculi? A.History of mild flu symptoms last week. B.Dark-colored coffee-ground emesis. C.Pain […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137369","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137369","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137369"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137369\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137369"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}