Sometimes a little knowledge can be dangerous. Beware of just knowing the percentages, know to apply them in the clinical context.
I was recently handed over a patient who had presented with abdominal pain. The patient was reported as having some left sided abdominal pain and pain on left kidney ballottement. The diagnosis of renal colic colic had been made. The patient was being treated with oral analgesia with a view to going home when pain was under control.
The past history the patient gave was a hysterectomy a few years prior, with a complication of hernia, and a further complication of infection, post hernia repair. She had also had a secondary in the lung for which she had had a lobectomy. She did give a history of left renal colic some 19 years previously […]