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A 53-Year-Old Woman Comes to the Emergency Department with Left-Sided

question 45

Multiple Choice

A 53-year-old woman comes to the emergency department with left-sided flank pain and dark urine. The patient's symptoms began this morning and are associated with dysuria and urinary urgency. Medical history includes type 2 diabetes mellitus and hypertension. Medications include lisinopril, amlodipine, atorvastatin, glargine insulin, and metformin. She does not use tobacco, alcohol, or illicit drugs.
Vital signs are normal, and physical examination is notable only for left upper abdominal tenderness.
Complete blood count is normal. Additional laboratory results are as follows:
A noncontrast abdominal CT scan reveals a dense, 4-mm stone in the distal left ureter without hydronephrosis. The patient is treated with intravenous hydration and analgesics, which relieve her symptoms. The stone is passed without further intervention and sent for analysis.
Which of the following is the best next step in evaluation of this patient's condition?

Discern the ethical considerations and potential biases within evolutionary psychology.

Understand the historical and contemporary perspectives on sexual violence and harassment.

Recognize the legal and social definitions of sexual harassment, rape, and consent.

Identify the different forms of sexual abuse and their impact on victims.

Definitions:

Psychological Interventions

Techniques or strategies employed by mental health professionals to promote mental well-being and alleviate psychological distress.

Cancer Prevention

Strategies and actions aimed at reducing the risk of developing cancer, including lifestyle changes, vaccinations, and preventive healthcare measures.

Skin Cancer

A form of cancer that begins in the cells of the skin, often due to overexposure to ultraviolet (UV) radiation from the sun.

Light-Skinned People

Individuals characterized by having a paler or lighter pigmentation of the skin, often due to genetic heritage and geographical origins.