Stones and Laser Beams: An Approach to Loin Pain

In this episode Jonty and Rory cover an approach to Loin Pain!As mentioned, please find the handy LOIN PAIN mnemonic below: L: Life-threateningThese are key red flag conditions you don’t want to miss:Bilateral urinary tract obstructionIs the pain bilateral?Urinary output?History of retention?O/E any masses?Cardinal cancer symptoms, LOW, FatigueUrosepsisFeverMental state FBERuptured ectopicPossibility of pregnancy?Urine/serum B-HCG + USO: Obstruction (most likely)StonesStrictures FunctionalI: InfectionPyelonephritisN: NeoplasmsRenal or otherP: Primary renalInfarctionPKDA: AAA/VascularSmoking, Hypertension, Metabolic syndromeI: Irradiated painThink GI + GynaeN: NeuroRadiculopathyS: SkeletalStrain