1st April 2022

A 50-year-old man who is a bodybuilder attends A&E with sudden, severe right-sided flank pain that radiates to the right testicle

A 50-year-old man who is a bodybuilder attends A&E with sudden, severe right-sided flank pain that radiates to the right testicle. He is writhing in pain and complains of nausea. He has no significant past medical history, is a nonsmoker and has a high protein diet to maintain his physique. He is afebrile, and on examination, he has right-sided flank and costovertebral tenderness.

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