EP063 - Atypical Ureteric Colic in a 25-Year-Old Man

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study concerning a 25-year-old man experiencing atypical ureteric colic despite no stone being found. It details the patient's presentation, initial diagnosis of atypical ureteric colic, and subsequent imaging with an intravenous pyelogram (IVP) to investigate the pain's origin. The case then instructs a medical officer to interpret the IVP film, explain the findings, and advise the patient, focusing on the left-sided crossed-fused ectopic kidney revealed by the imaging. Ultimately, the source serves as an educational tool, guiding the medical professional through diagnosis, patient communication, and understanding the implications of congenital renal abnormalities for this patient's pain.

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