Patient presentations
MLA Domain 5 · Presentation
Loin pain
7 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.
classic presentation · 4
Paraneoplastic polycythaemia (ectopic EPO)
Thrombosis from hyperviscosity
Pyelonephritis
OBSTRUCTED + infected kidney (pyonephrosis) — stone/obstruction with infection → EMERGENCY decompression (nephrostomy/st
Transfusion reactions
STOP the transfusion immediately for any significant reaction and reassess (ABCDE); recheck the patient/unit identity
Urinary tract infection
Fever, loin pain, rigors or systemic upset → pyelonephritis/urosepsis → escalate (see pyelonephritis)
recognised feature · 3