Quote Originally Posted by SamuraiCO View Post
You are left with acetaminophen 3000-4000mg per day for pain control. I would use NSAIDS after trauma was controlled and no further risk of bleeding. Then is OK. Up to 3600mg ibuprofen and 1500mg naproxen (both OTC). Lots of fluids in your case. Hot pads. For discharge then I see you for your scrips of norco or percocet for pain, tamsulosin to open the urinary tubes and zofran for nausea. Our regular Saturday and Sunday nght ER concoction.
Pretty much what I was sent home with - Percocet for pain, Zofran for nausea, Flomax for flow and Cipro for the infection.

For the pop quiz the big life threat for someone with flank pain is a AAA or Abdominal Aortic Aneurysm. I told my wife, thank God I am peeing blood. The Doc (who actually was an old friend I had not seen in 5 years since he moved away and since came back) said the same thing "Blood in there?" Yep. "Good that's what we like to see."

GZ all good things you brought up. The point is when talking medicine it is more often ruling things out to come to a diagnosis. For most of this stuff (belly issues) high tech tools are very helpful (CT, MRI, etc.) but there are some old school things that can help.