RUQ pain, LUQ Pain

a.k.a. Renal colic pain.  Intermittent Flank Pain radiating to the groin

DDx

Common

• Kidney stone
• Uncomplicated UTI
• Renal Diseases

Must R/O*

• Complicated UTI or pyelonephritis  (+ Fever, N/V, CVA positive)
• Every 55+ male suspected of renal colic should FIRST rule out AAA - Abdominal Aortic Aneurysm (+ tender pulsatile mass, hypotension)
• !AD - Aortic Dissection

Rate of mis-diagnosis of Renal Colic

Kidney problems

• Kidney Stone (Urolithiasis)
• Complicated UTI
• Pyelonephritis
• Renal Cancer - RCC
• Renal AKI
  • Cystic Kidney Diseases