30 Y/0 M Sick Person

[Melclin]

but would abdominal pain come immediately at the onset of a slow leak? when would one start to notice the blood loss? (we were told we cant always determine the cause of abdominal pain...so I would just transport asap)

But often you can give it a pretty good guess. Good enough to mean the difference between transporting L/S with notification and leaving a pt at home.

 

[Veneficus]

I've seen kidney stones mentioned a couple different times in this thread.

I don't understand how this looks like a kidney stone. I guess it *could* be but generally it's going to be flank/back pain not abdominal pain.

Kidneys, bladder and ureters are all in the retroperitoneal space, not the abdominal cavity.

Well I guess technically the retroperitoneum is in the posterior portion of the abdominal cavity which is separated by the peritoneum.

Either way I don't see this being kidney stones, but that's just me.

It doesn't have to be flank pain and can present as abd pain, though it is rare. On a thin person (especially females) you can actually palpate the stone via the abd.

 

[mycrofft]

OP what was the outcome?