Bilateral loin pain

A 24-year-old man (Patient 3). This patient had flu-like symptoms, and took a mixed preparation consisting of bucetin at 120 mg and aspirin at 240 mg. After 15 h, he participated in a 200-m race in an athletics meeting (October 10, 1980). After 6h, he attended our hospital with nausea and bilateral loin pain. The severe pain, which made it impossible for him to drive a car, persisted for 2 days. His serum creatinine and urinary protein levels were 2.4mg/dl and 2+, respectively, 4 days after onset. The patient was negative for urinary occult blood, and his urinary sodium level was 99mEq/l. On the same day, drip infusion pyelography (DIP) revealed no ureteral... 

This patient was the first case in which ALPE developed in the presence of renal hypouricemia [3]. On September 26,1984, he participated in a 400-m race in a school athletics meeting. On September 27, nausea and vomiting occurred about 12 h later at 0100 hours, and then bilateral loin pain and abdominal pain developed. Because... 

Acute renal insufficiency is a rare complication of the use of jering. In one case there was dysuria, hematuria, vomiting, abdominal pain, and blue urine (69). In two other cases there was bilateral loin pain, fever, nausea, vomiting, oliguria, hematuria, and passage of sandy particles in the urine (70). Blood urea and serum creatinine were markedly raised. With conservative therapy, which included rehydration with isotonic saline and alkahniza-tion of the urine with sodium bicarbonate, the acute renal insufficiency resolved. 

Djencohc add affects kidney function due to predpitation of amino adds in body fluids. Symptoms of djenkol bean poisoning (djenkoKsm) are nausea, vomiting, bilateral loin pain, urinary obstructions, such as haematuria (presence of blood in the urine) and ohgutia (low urinary out-put, less than 500 ml in every 24 hours). 

A laparoscopy is performed and the cysts drained. The patient is prescribed GnRh analogue plus add-back therapy. Two months later she is readmitted with left loin pain, hot, cold and dizzy symptoms. The impression is a flare-up of the endometriosis. The pain team prescribed morphine 2 hourly. Patient had radical operation subtotal abdominal hysterectomy and bilateral salpingo-oophorectomy. 

An 18-year-old girl developed bilateral loin and abdominal pain with anorexia and vomiting after taking 2.0 g of glafenine. Four days later she was oliguiic with heavy proteinuria and the blood urea was 116 mg/100 ml. The blood urea and creatinine rose to maximum values of 195 and 10.6 mg/100 ml reflectively, and frank galactor-rhoea was present for 48 hours. Large doses of fru-semide produced an immediate diuresis, with rapid improvement in renal function (94, 95C). 

---