Scenario Continued: Secondary Care setting
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You are a Physician Associate working in the emergency department. You review the notes of a patient referred from primary care. The notes describe a 35-year-old female presenting with sudden onset, severe right-sided abdominal pain that radiates to the groin. The pain has been ongoing for several hours and is described as intermittent and excruciating. The referring clinician suspects renal colic and has requested further investigation and management.
Appearance: The patient is visibly distressed, unable to sit still due to the pain. She reports associated nausea but denies fever, vomiting, or diarrhoea. She has no significant medical history and is not on any regular medications. She was provided oral analgesia in primary care, but the pain persists.
Vital Signs:
- Pulse: 92 bpm, regular
- Blood Pressure: 124/80 mmHg
- Respiratory Rate: 18/min
- Oxygen Saturation: 97% on room air
- Temperature: 36.6°C
Urine Dipstick:
- Positive for microscopic haematuria
- No nitrites or leukocytes
Bloods:
- Renal function: Normal
- CRP: <5 (normal)
- FBC: Normal
As the PA in secondary care, what is your next step?