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Short Answer Questions for ED Fellowship Study

Case: Presumed renal colic

A 75-year-old man is referred by his GP for presumed renal colic. He has worsening flank pain and is now pale. Vitals: HR 110/min, BP 95/70, RR 24, SpO2 97% RA, Temp 37°C. Past history includes renal colic, hypertension, hypercholesterolaemia and smoking. POCUS for shock is negative. A screening AAA scan is performed.

Presumed renal colic

1. Label the structures A, B and C on the ultrasound image. 3 marks

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You have scanned further down the aorta and gained the following image of the mid-aorta.

2. State your findings on the mid-aorta scan. 2 marks

Question image
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3. What is the likely diagnosis in this patient and what is your immediate management? 5 marks

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4. What are the specific treatment options for this condition? 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.