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J R Soc Med 2008;101:85-86
doi:10.1258/jrsm.2008.070404
© 2008 Royal Society of Medicine

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J R Soc Med 2008;101:85-86
© 2008 The Royal Society of Medicine

Grand Round

A lady with unresolved loin pain

Kai Ming Chow1 Kirsty Wai Chung Lee1 Tiffany Cho Lam Wong2   Cheuk Chun Szeto1

1 Department of Medicine &Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China
2 Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China

Correspondence to: Dr Chow Kai Ming. E-mail: Chow_Kai_Ming{at}alumni.cuhk.net

SUMMARY

A history of cardiac disease, especially atrial fibrillation, together with symptoms such as loin or abdominal pain, and accompanied by an elevated lactate dehydrogenase should prompt a computed tomography scan to exclude the diagnosis of acute renal infarction.


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