Clinical Case Database / Category: Case Based Discussion

Urological emergencies

Publication details

Paul Lyon MSc, MRes, BMBS, Hari Ratan DM, FRCS (Urol.), Kenneth Elder BMBS, Stephen Thomas FRCS (Urol.), Gill M. Turner BSc, FRCR
Foundation Years Journal, volume 3, issue 10, p.13 (123Doc Education, London, December 2009)


A 58-year-old patient (smoker) is admitted to the Emergency Department by his GP with severe right-sided loin pain radiating into the right lower abdomen.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart


Paul Lyon MSc, MRes, BMBS (Corresponding author)

Foundation Doctor
Derby Hospitals NHS Foundation Trust

Hari Ratan DM, FRCS (Urol.)

Specialist Registrar in Urology
Derby Hospitals NHS Foundation Trust

Kenneth Elder BMBS

Foundation Doctor
Derby Hospitals NHS Foundation Trust

Stephen Thomas FRCS (Urol.)

Consultant Urologist
Derby Hospitals NHS Foundation Trust

Gill M. Turner BSc, FRCR

Consultant Radiologist
Derby Hospitals NHS Foundation Trust


1.  Menon M, Parulkar BC, Drach GW (1998) Urinary lithiasis: etiology, diagnosis and medical management, in PC Walsh, et al. (eds) Campbell’s Urology, 7th edition. Philadelphia: Saunders, pp. 2661–2733.

2.  (2004) The presence of microscopic hematuria detected by urine dipstick test in the evaluation of patients with renal colic, Urol Res, 32(4): 294–297 (Epub 26 March 2004).

3.  Parra D, Legreid AM, Beckey NP, Reyes S (2004) Metformin monitoring and change in serum creatinine levels in patients undergoing radiologic procedures involving administration of intravenous contrast media. Pharmacotherapy, 24(8): 987–993.

4.  British Medical Journal,Tamsulosin is effective for renal colic,

5.  Miller OF, Kane CJ (1999) Time to stone passage for observed ureteral calculi: a guide for patient education. J Urol, 162: 688–690.

6.  Errando C, Huguet J, Regalado R, et al. (1995) Open surgery of calculus of the kidney pelvis. Results and complications in the era of extracorporeal lithotripsy. Ann Urol (Paris) 29(6–7): 378–381.

7.  Curhan GC, Willett WC, Speizer FE, Spiegelman D, Stampfer MJ (1997) Comparison of dietary calcium with supplemental calcium and other nutrients as factors affecting the risk for kidney stones in women. Intern Med, 126(7): 497–504.


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.