A 54-Year-Old Man Comes to the Emergency Department with Cramping

question 80

Multiple Choice

A 54-year-old man comes to the emergency department with cramping lower abdominal pain, mild nausea, and 2 episodes of watery diarrhea.  The patient has no fever, vomiting, or urinary symptoms.  His past medical history is unremarkable.  The patient's father died at age 60 from abdominal aortic aneurysm rupture.  He is a lifetime nonsmoker.  His vital signs are normal.  CT scan of the abdomen with contrast is shown in the image below: All gastrointestinal symptoms resolve in 2 hours without any intervention, and the patient wants to go home.  Which of the following is the most appropriate management for the renal findings on the CT scan?

• A)Antibiotics
• B)Percutaneous aspiration
• C)Reassurance only
• D)Surgical excision
• E)Ureteral stent placement

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Definitions:

Modern Medicine

Medical practices based on the latest technology, research, and techniques for diagnosing and treating diseases.

Terror Management Theory

A social psychological concept suggesting humans have distress and anxiety when reminded of their own mortality, which they manage through cultural beliefs and values.

High-Risk Behaviors

Actions that increase the likelihood of negative consequences, such as harm or injury, often involving disregard for safety.

Talks About Death

Conversations that involve discussing the concept, implications, and emotions related to dying and mortality.