 |  flank pain, tenesmus,N/V
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| Author | 6 Posts |
achilles
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A 20-year-old college student comes to the emergency department because of the sudden onset of excruciating left-sided flank pain radiating to the labia. She states that the flank pain is associated with tenesmus, rectal pain, nausea, and vomiting. She had 2 episodes of hematuria. She has no chronic medical conditions and has never had any similar episodes in the past. She has recently started taking "megadoses" of vitamin A, vitamin C, vitamin E, pyridoxine, and methylphenidate (her roommate's) to "help with final examinations". Her temperature is 37.8 C (100 F), blood pressure is 130/80 mm Hg, pulse is 80/min, and respirations are 26/min. Examination shows severe left costovertebral angle tenderness. An x-ray film of the kidneys, ureter, and bladder (KUB) shows a radio-opacity in the left ureter. Which of the following is the most likely explanation for these findings?
A. Vitamin A excess
B. Vitamin C excess
C. Vitamin E excess
D. Methylphenidate
E. Pyridoxine excess
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| srf
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b
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| Rasul
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B.
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| Geroo
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b
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| msyamp
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B
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| achilles
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B-vit C, is the answer.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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