Show notes
In this episode Jonty and Rory cover an approach to Loin Pain!
As mentioned, please find the handy LOIN PAIN mnemonic below:
L: Life-threatening
These are key red flag conditions you don’t want to miss:
Bilateral urinary tract obstruction
Is the pain bilateral?
Urinary output?
History of retention?
O/E any masses?
Cardinal cancer symptoms, LOW, Fatigue
Urosepsis
Fever
Mental state
FBE
Ruptured ectopic
Possibility of pregnancy?
Urine/serum B-HCG + US
O: Obstruction (most likely)
Stones
Strictures
Functional
I: Infection
Pyelonephritis
N: Neoplasms
Renal or other
P: Primary renal
Infarction
PKD
A: AAA/Vascular
Smoking, Hypertension, Metabolic syndrome
I: Irradiated pain
Think GI + Gynae
N: Neuro
Radiculopathy
S: Skeletal
Strain

